NPI 1114540820

Rachel Duckworth, DMD

Practitioner Dentist Crestview, FL

Practice location

Address: 775 N Ferdon Blvd STE a, Crestview, FL 32536-2167
Phone: (850) 613-5035
Mailing address: 4306 River Birch Dr, Spring Hill, FL 34607-2514

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DN24853 (FL)

Other Dentist providers in Florida →

Dentist

Dental Providers Taxonomy 122300000X Licence D.007297-C1 (AL)

Registry record

NPI: 1114540820
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2020
Record last updated: 22 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.