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NPI Code Detail

MEDICARE: GIUSEPPE REBELLATO, D.D.S., P.C.

MEDICARE: GIUSEPPE REBELLATO, D.D.S., P.C.
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry0401007829VA

General Provider Information

NPI Number : 1487827945
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIUSEPPE REBELLATO, D.D.S., P.C.
Provider Business Mailing Address
First Line : 1470 PANTOPS MOUNTAIN PL
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22911-4600
Country : US
Telephone Number : 434-984-1817
Fax Number : 434-817-1819
Provider Business Practice Location Address
First Line : 1470 PANTOPS MOUNTAIN PL
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22911-4600
Country : US
Telephone Number : 434-984-1817
Fax Number : 434-817-1819
Authorized Official
Title or Position : PRESIDENT
Name : GIUSEPPE REBELLATO
Credential : D.D.S.
Telephone Number : 434-984-1817
Provider Enumeration Date : 04/04/2008
Last Update Date : 04/04/2008

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