Provider Demographics
NPI:1154642965
Name:MARCHAND, RACHAEL M (DDS)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:M
Last Name:MARCHAND
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 1:875 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-4920
Mailing Address - Country:US
Mailing Address - Phone:985-626-0933
Mailing Address - Fax:
Practice Address - Street 1:875 PARK AVE
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4920
Practice Address - Country:US
Practice Address - Phone:985-626-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA60651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice