MEDICARE: REBECCA FRONHEISER DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1467148056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBECCA FRONHEISER DDS PLLC

Provider Business Mailing Address
First Line	:	768 SUN RD
Second Line	:
City	:	ABERDEEN
State	:	NC
Zip	:	28315-2129
Country	:	US
Telephone Number	:	585-506-8066
Fax Number	:

Provider Business Practice Location Address
First Line	:	768 SUN RD
Second Line	:
City	:	ABERDEEN
State	:	NC
Zip	:	28315-2129
Country	:	US
Telephone Number	:	585-506-8066
Fax Number	:

Authorized Official
Title or Position	:	ORGANIZER
Name	:	DR. REBECCA FRONHEISER
Credential	:	DDS
Telephone Number	:	585-506-8066

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	05/15/2023

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