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NPI Code Detail

MEDICARE: DR. DONALD GLENN REBHUN D.M.D.

MEDICARE:  DR. DONALD GLENN REBHUN  D.M.D.
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
1122300000XDentistDS021938PA
21223S0112XOral and Maxillofacial Surgery (Dentist)22DI01270800NJ

General Provider Information

NPI Number : 1033102777
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD GLENN REBHUN D.M.D.
Provider Business Mailing Address
First Line : 2301 E EVESHAM RD
Second Line : SUITE 211
City : VOORHEES
State : NJ
Zip : 08043-4501
Country : US
Telephone Number : 856-772-1500
Fax Number : 856-772-0711
Provider Business Practice Location Address
First Line : 2301 E EVESHAM RD
Second Line : SUITE 211
City : VOORHEES
State : NJ
Zip : 08043-4501
Country : US
Telephone Number : 856-772-1500
Fax Number : 856-772-0711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2005
Last Update Date : 01/06/2023

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Directions to “ DR. DONALD GLENN REBHUN D.M.D.” Practice Location

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