Petts, Rebecca

Petts, Rebecca is an individual health care provider with primary practice located at 9601 Chester Ave , Cleveland OH 44106. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Petts, Rebecca can be contacted via phone (216) 368-8665.

Contact Information

Primary practice address
9601 Chester Ave Cleveland OH 44106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X RES.004157 Ohio

Profile Details

NPI number 1407417140
LBN Legal business name Petts, Rebecca
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407417140 NPPES
Ohio MEDICAID RES.004157

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