MEDICARE: DR. REBECA G. ATKINS DDS

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	39659	TX

General Provider Information

NPI Number	:	1902507411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECA G. ATKINS DDS

Provider Business Mailing Address
First Line	:	3140 HARVARD AVE APT 1705
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-3733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 HARVARD AVE APT 1705
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-3733
Country	:	US
Telephone Number	:	210-450-3700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	06/18/2023

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