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NPI Code Detail

MEDICARE: DR. REBEKAH GRESHAM REED DMD

MEDICARE: DR. REBEKAH GRESHAM REED DMD
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
1390200000XStudent in an Organized Health Care Education/Training Program
21223G0001XGeneral Practice DentistryFR9517345CO

General Provider Information

NPI Number : 1851936066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBEKAH GRESHAM REED DMD
Provider Business Mailing Address
First Line : 889 MAIN CT
Second Line :
City : CARBONDALE
State : CO
Zip : 81623-1851
Country : US
Telephone Number : 303-941-8126
Fax Number :
Provider Business Practice Location Address
First Line : 889 MAIN CT
Second Line :
City : CARBONDALE
State : CO
Zip : 81623-1851
Country : US
Telephone Number : 970-963-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2019
Last Update Date : 08/18/2020

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