# REBEKAH BRANSCUM DRE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669170825
- **Authorized official:** GREG WHITE (CEO)
- **Authorized official phone:** (859) 533-1109

## Contact information

- **Practice address:** 8536 W HIGHWAY 80, NANCY, KY 42544-7744
- **Practice address phone:** (606) 636-4311
- **Mailing address:** 8536 W HIGHWAY 80, NANCY, KY 42544-7744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2023
- **Last updated:** 02/17/2023