Rebecca L Doolittle
Individual provider Active NPI Dentist · Aledo, TX
NPI 1124385620 · NPPES record last updated Dec 18, 2013
Key facts
- NPI
- 1124385620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 29532 (TX)
- Practice address
- 124 Aspen Loop
Aledo, TX 76008-4527 - Phone
- (612) 709-7094
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13094 | MN | MD | Dentist |
| 29532 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13094 | MN | |
| Dentist | 122300000X | 29532 | TX | Yes |
Addresses
Primary practice location
124 Aspen Loop
Aledo, TX 76008-4527
Mailing address
124 Aspen Loop
Aledo, TX 76008-4527
Phone (612) 709-7094
Other names
- Rebecca L Floyd
Other providers in Aledo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.