Healthcare Provider Details

I. General information

NPI: 1184040396
Provider Name (Legal Business Name): RACHEL DUFFY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL L DUFFY DMD MPH

II. Dates (important events)

Enumeration Date: 03/12/2014
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 E STILL CIR
MESA AZ
85206-3631
US

IV. Provider business mailing address

5855 E STILL CIR
MESA AZ
85206-3631
US

V. Phone/Fax

Practice location:
  • Phone: 480-248-8100
  • Fax:
Mailing address:
  • Phone: 727-492-4209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD008892
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: