Provider Demographics
NPI:1013308568
Name:FLEURY, RACHELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:
Last Name:FLEURY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 KEN PILKERTON DR
Mailing Address - Street 2:APT 121
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3841
Mailing Address - Country:US
Mailing Address - Phone:347-277-5486
Mailing Address - Fax:
Practice Address - Street 1:2711 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3724
Practice Address - Country:US
Practice Address - Phone:615-900-5807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN103511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice