Healthcare Provider Details

I. General information

NPI: 1336496934
Provider Name (Legal Business Name): RACHEL SAWYER HARVEY D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N GIBSON ST
PRINCETON IN
47670-1856
US

IV. Provider business mailing address

105 N GIBSON ST
PRINCETON IN
47670-1856
US

V. Phone/Fax

Practice location:
  • Phone: 812-386-1290
  • Fax: 812-386-1296
Mailing address:
  • Phone: 812-386-1290
  • Fax: 812-386-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12011850A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: