Provider Demographics
NPI:1447517941
Name:UPPGAARD, RACHEL MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARIE
Last Name:UPPGAARD
Suffix:
Gender:F
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:515 DELAWARE STREET SE
Mailing Address - Street 2:7-174 MOOS TOWER
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-301-2233
Mailing Address - Fax:612-624-2669
Practice Address - Street 1:515 DELAWARE ST SE
Practice Address - Street 2:7-174 MOOS TOWERS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0357
Practice Address - Country:US
Practice Address - Phone:612-625-2495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND130601223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery