Provider Demographics
NPI:1285050120
Name:FRENCH, REBECCA JEANNE (DMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JEANNE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:STEELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17113
Mailing Address - Country:US
Mailing Address - Phone:805-368-7926
Mailing Address - Fax:
Practice Address - Street 1:19 S 22ND ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4603
Practice Address - Country:US
Practice Address - Phone:717-737-7422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0405361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1285050120Medicaid