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NPI Code Detail

MEDICARE: DR. WENDY RENE TRESHER D.M.D.

MEDICARE:  DR. WENDY RENE TRESHER  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
11223G0001XGeneral Practice DentistryDN20635FL

General Provider Information

NPI Number : 1316353303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDY RENE TRESHER D.M.D.
Provider Business Mailing Address
First Line : 2234 STATE ROAD 44
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-8304
Country : US
Telephone Number : 386-423-1440
Fax Number : 386-423-1957
Provider Business Practice Location Address
First Line : 2234 STATE ROAD 44
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-8304
Country : US
Telephone Number : 386-423-1440
Fax Number : 386-423-1957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2014
Last Update Date : 03/30/2022

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Directions to “ DR. WENDY RENE TRESHER D.M.D.” Practice Location

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