Healthcare Provider Details

I. General information

NPI: 1588504153
Provider Name (Legal Business Name): JACQUELINE RAPPAHAHN, DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 UPPER RAGSDALE DR STE 100
MONTEREY CA
93940-7829
US

IV. Provider business mailing address

21 UPPER RAGSDALE DR STE 100
MONTEREY CA
93940-7829
US

V. Phone/Fax

Practice location:
  • Phone: 831-288-2900
  • Fax: 831-288-2901
Mailing address:
  • Phone: 831-288-2900
  • Fax: 831-288-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE RAPPAHAHN
Title or Position: OWNER
Credential: DDS
Phone: 831-288-2900