Provider Demographics
NPI:1215673538
Name:WILLIAMS, RACHEL E (DDS)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:E
Last Name:WILLIAMS
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 1:150 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3508
Mailing Address - Country:US
Mailing Address - Phone:859-816-5512
Mailing Address - Fax:
Practice Address - Street 1:9745 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-6947
Practice Address - Country:US
Practice Address - Phone:614-766-5722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.026808122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist