Rebekah J Cho
Individual provider Active NPI General Practice Dentistry · Monona, WI
NPI 1639735913 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1639735913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1002150 (WI)
- Practice address
- 1532 W Broadway Ste 101
Monona, WI 53713-1827 - Phone
- (608) 221-3326
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 1002150 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Day Dental LLC | Past | Accepting new patients | |
| Great Day Dental LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 1002150 | WI | Yes |
Addresses
Primary practice location
1532 W Broadway Ste 101
Monona, WI 53713-1827
Mailing address
1801 W Wisconsin Ave
Milwaukee, WI 53233-2186
Other providers in Monona, WI
- Center for Life & Loss Integration
- Wing-Kai Anthony Cheung
- Kathleen Childs
- Kaylin Marie Chiolino
- Cho LLC
- Jaehyung Choi
- Seton M Christenson-Houg
- Jennifer Chun
- City of Monona
- Clear Minds Health Group of Arizona PLLC
All providers in Monona, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. 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.