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Dr. Rebecca Johnson Kucera, DDS
Pediatric Dentist in Lewisburg, West Virginia
NPI 1922208867

Rebecca Johnson Kucera is a Pediatric Dentist based in Lewisburg, WV and is specialized in Pediatric Dentistry. Rebecca Johnson Kucera practices in Lewisburg, WV and has the professional credentials of DDS. The NPI Number for Rebecca Johnson Kucera is 1922208867 and holds a License No. 3783 (West Virginia).

The current practice location address for Rebecca Johnson Kucera is 1489 N Jefferson St, Lewisburg, WV and can be reached out via phone at 304-645-0251 and via fax at 304-645-0252.

Location: 1489 N Jefferson St, Lewisburg, WV, 24901-1187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922208867
Provider Name
Rebecca Johnson Kucera
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1489 N Jefferson St, Lewisburg, WV, 24901-1187
Phone Number
304-645-0251
Fax Number
304-645-0252
Provider Enumeration Date
07/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
800340665 01 TAX ID
3810006780 05 WV
3783 01 WV STATE OF WV DENTAL LICENS
institution
Provider Business Practice Location Address Details
Address
1489 N Jefferson St
City
Lewisburg
State
West Virginia
Zip
24901-1187
Phone Number
304-645-0251
Fax Number
304-645-0252
person
Provider Business Mailing Address Details
Address
1489 N Jefferson St
City
Lewisburg
State
West Virginia
Zip
24901-1187
Phone Number
304-645-0251
Fax Number
304-645-0252
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3783 (West Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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