Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. REBECCA HAVEL PRUST, D.D.S.
ActiveDR. REBECCA HAVEL PRUST, D.D.S. is a General Dentistry healthcare provider located in ALGOMA, Wisconsin. NPI 1609905645 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ALGOMA, WI
Registration Details
- NPI Number
- 1609905645
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2007 (19.297918954185 yrs)
- Last Updated
- Apr 1, 2016
- License
-
5658-015 (WI)
Practice Information
- Address
-
1223 LAKE STREETALGOMA, WI, 54201Browse WI providers · Browse ZIP 54201
- Phone
- 9204875648
- Fax
- 9204875658
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.