MEDICARE: REBECCA A RATH DMD

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	7923	MT
2	122300000X	Dentist	7923	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7923	OTHER	MT	DENTAL LICENSE

General Provider Information

NPI Number	:	1942516349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA A RATH DMD

Provider Business Mailing Address
First Line	:	2700 GRAND AVE STE E
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2682
Country	:	US
Telephone Number	:	406-652-9204
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 GRAND AVE STE E
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2682
Country	:	US
Telephone Number	:	406-652-9204
Fax Number	:

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

Provider Enumeration Date	:	08/23/2010
Last Update Date	:	12/07/2023

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Directions to “ REBECCA A RATH DMD” Practice Location

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