MEDICARE: DR. STEVEN H REZBA DDS

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	122300000X	Dentist	DS5208	TN

General Provider Information

NPI Number	:	1639214554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN H REZBA DDS

Provider Business Mailing Address
First Line	:	3326 ASPEN GROVE DR
Second Line	:	SUITE 120
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2837
Country	:	US
Telephone Number	:	615-771-2151
Fax Number	:	615-771-2161

Provider Business Practice Location Address
First Line	:	3326 ASPEN GROVE DR
Second Line	:	SUITE 120
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2837
Country	:	US
Telephone Number	:	615-771-2151
Fax Number	:	615-771-2161

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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