Provider Demographics
NPI:1316969454
Name:MAJOR, RACHEL J (DDS)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:J
Last Name:MAJOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20171 ICENIC TRAIL
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044
Mailing Address - Country:US
Mailing Address - Phone:952-469-3300
Mailing Address - Fax:952-469-5655
Practice Address - Street 1:20171 ICENIC TRAIL
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044
Practice Address - Country:US
Practice Address - Phone:952-469-3300
Practice Address - Fax:952-469-5655
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND121611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN978483OtherUNITED CONCORDIA
MN669127700Medicaid
MN1727OtherHEALTH PARTNERS
MN46092 DEOtherBLUE CROSS BLUE SHIELD
MN013454OtherDORAL DENTAL