Provider Demographics
NPI:1114756814
Name:RIKER, RACHEL E (RDH)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:RIKER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3441
Mailing Address - Country:US
Mailing Address - Phone:781-910-5373
Mailing Address - Fax:
Practice Address - Street 1:2 GLEN RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-1380
Practice Address - Country:US
Practice Address - Phone:774-930-2052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADH10378124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist