Provider Demographics
NPI:1962896647
Name:THOMAS, RACHEL M (DMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:M
Last Name:THOMAS
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 1:330 MIDDLETOWN BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3204
Mailing Address - Country:US
Mailing Address - Phone:215-757-1574
Mailing Address - Fax:
Practice Address - Street 1:330 MIDDLETOWN BLVD STE 401
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3204
Practice Address - Country:US
Practice Address - Phone:215-750-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02637200122300000X
PADS0407201223P0221X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223P0221XDental ProvidersDentistPediatric Dentistry