Provider Demographics
NPI:1962841510
Name:RACHEL A MAHER,DMD, PA
Entity Type:Organization
Organization Name:RACHEL A MAHER,DMD, PA
Other - Org Name:DENTISTRY FOR CHILDREN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:302-475-7640
Mailing Address - Street 1:2036 FOULK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3648
Mailing Address - Country:US
Mailing Address - Phone:302-475-7640
Mailing Address - Fax:302-475-1700
Practice Address - Street 1:2036 FOULK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3648
Practice Address - Country:US
Practice Address - Phone:302-475-7640
Practice Address - Fax:302-475-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-0001142122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE=========Medicaid