Provider Demographics
NPI:1457770059
Name:RAPPAHAHN, JACQUELINE NGUYEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:NGUYEN
Last Name:RAPPAHAHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JACQUELINE
Other - Middle Name:DOAN TRANG
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1045 LOS PALOS DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3916
Mailing Address - Country:US
Mailing Address - Phone:831-272-2688
Mailing Address - Fax:
Practice Address - Street 1:1045 LOS PALOS DR
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3916
Practice Address - Country:US
Practice Address - Phone:831-272-2688
Practice Address - Fax:831-785-2968
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA634141223P0221X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry