Provider Demographics
NPI:1881281830
Name:NOLAN, RACHEL WILLIAMS (DDS)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:WILLIAMS
Last Name:NOLAN
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 1:25105 REEDS MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:WORTON
Mailing Address - State:MD
Mailing Address - Zip Code:21678-1971
Mailing Address - Country:US
Mailing Address - Phone:443-480-1990
Mailing Address - Fax:
Practice Address - Street 1:202 S MAPLE AVE STE 1
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1666
Practice Address - Country:US
Practice Address - Phone:410-778-1297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD171141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice