Healthcare Provider Details

I. General information

NPI: 1740110220
Provider Name (Legal Business Name): RACHEL JOANN DENT DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

496 SOUTHLAND DR
LEXINGTON KY
40503-1827
US

IV. Provider business mailing address

PO BOX 39597
BELFAST ME
04915-1249
US

V. Phone/Fax

Practice location:
  • Phone: 859-288-2425
  • Fax: 844-670-2874
Mailing address:
  • Phone: 859-288-2425
  • Fax: 844-670-2874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD-00187
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD-00187
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: