Provider Demographics
NPI:1104286384
Name:MUENCH, ANNA RACHAEL (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:RACHAEL
Last Name:MUENCH
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 FARLEY CIR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9243
Mailing Address - Country:US
Mailing Address - Phone:570-524-9866
Mailing Address - Fax:
Practice Address - Street 1:142 FARLEY CIR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9243
Practice Address - Country:US
Practice Address - Phone:570-524-9866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD148881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics