NPIMap

Stephen M. Rebar, DDS

Individual provider Active NPI General Practice Dentistry · Olyphant, PA

NPI 1720151087 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720151087
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS024903L (PA)
Practice address
505 Sunset Dr
Olyphant, PA 18447-1323
Phone
(570) 489-5663
Fax
(570) 489-5688
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS024903LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stephen M.Rebar DDS Current
since May 31, 2020		 Accepting new patients
Rebar Dental Current
since Jul 7, 2024		 Accepting new patients

Locations

505 Sunset Dr
Olyphant, PA 18447
Phone (570) 489-5663

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024903L PA Yes

Addresses

Primary practice location

505 Sunset Dr
Olyphant, PA 18447-1323

Mailing address

505 Sunset Dr
Olyphant, PA 18447-1323
Phone (570) 489-5663

Other providers in Olyphant, PA

All providers in Olyphant, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.