Provider Demographics
NPI:1427345958
Name:BELLAN, RACHEL ROSEN (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ROSEN
Last Name:BELLAN
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4183 GLENHURST LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0132
Mailing Address - Country:US
Mailing Address - Phone:512-627-6270
Mailing Address - Fax:
Practice Address - Street 1:1739 N CENTRAL EXPY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3141
Practice Address - Country:US
Practice Address - Phone:972-540-9191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics