Individual provider · Type 1 NPI

Kevin Vincent Rethman, DDS

Oral and Maxillofacial Surgery (Dentist) · Prescott, AZ

NPI number 1346347234 Active

Practice location

1747 Willow Creek Rd
Prescott, AZ 86301-1154

Fax (928) 778-5528

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X3884 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1346347234

Kevin Vincent Rethman, DDS's National Provider Identifier is 1346347234, issued on Sep 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Prescott, AZ. The record was last updated on Oct 25, 2007.