Provider Demographics
NPI:1992223010
Name:BEEBE, RACHELLE (DMD)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:BEEBE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 S ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-9310
Mailing Address - Country:US
Mailing Address - Phone:425-359-0700
Mailing Address - Fax:
Practice Address - Street 1:8511 W CLEARWATER AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-9592
Practice Address - Country:US
Practice Address - Phone:509-792-3781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6999122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist