MEDICARE: ZAKARY RIEBSCHLEGER

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	2901603094	MI

General Provider Information

NPI Number	:	1336074541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKARY RIEBSCHLEGER

Provider Business Mailing Address
First Line	:	15 N MONROE ST
Second Line	:
City	:	ROCKFORD
State	:	MI
Zip	:	49341-1227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 N MONROE ST
Second Line	:
City	:	ROCKFORD
State	:	MI
Zip	:	49341-1227
Country	:	US
Telephone Number	:	616-866-3333
Fax Number	:

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ ZAKARY RIEBSCHLEGER ” Practice Location

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