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Dr. Rachel Cantrell, DMD

Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).

NPI number1497499412
StatusActive
Last updated in NPPESFeb 3, 2025

Details

NPI
1497499412
Entity type
Individual (NPI-1)
Name
Dr. Rachel Cantrell
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 26, 2022
Certification date
Feb 3, 2025
Last updated
Feb 3, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1364 Clifton Rd Ne
Atlanta, GA 30322-3964

Phone 404-778-4500

Mailing address

1364 Clifton Rd Ne
Atlanta, GA 30322-1059

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Atlanta, GA

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