MEDICARE: RUBEN KREBS

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	DN25335	FL

General Provider Information

NPI Number	:	1376140996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBEN KREBS

Provider Business Mailing Address
First Line	:	15455 COLLIER BLVD UNIT 104
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7874
Country	:	US
Telephone Number	:	239-258-4245
Fax Number	:	236-467-6050

Provider Business Practice Location Address
First Line	:	15455 COLLIER BLVD UNIT 104
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7874
Country	:	US
Telephone Number	:	239-258-4245
Fax Number	:

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

Provider Enumeration Date	:	10/06/2020
Last Update Date	:	02/11/2025

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Directions to “ RUBEN KREBS ” Practice Location

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