Provider Demographics
NPI:1023393329
Name:ZECHMANN, REBECA YUTZY (DDS)
Entity Type:Individual
Prefix:DR
First Name:REBECA
Middle Name:YUTZY
Last Name:ZECHMANN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 RIVER LANDING DR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8612
Mailing Address - Country:US
Mailing Address - Phone:843-242-0645
Mailing Address - Fax:
Practice Address - Street 1:145 RIVER LANDING DR UNIT 102
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-8612
Practice Address - Country:US
Practice Address - Phone:843-242-0645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD148781223G0001X
SC89151223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
No1223G0001XDental ProvidersDentistGeneral Practice