Healthcare Provider Details

I. General information

NPI: 1063325090
Provider Name (Legal Business Name): RACHEL RICHARDS RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL BARNES RDH

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 MAIN ST
BUCKSPORT ME
04416-4075
US

IV. Provider business mailing address

16 OLD COUNTY RD
ETNA ME
04434-3813
US

V. Phone/Fax

Practice location:
  • Phone: 207-469-2912
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberRDH4428
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: