Provider Demographics
NPI:1639214554
Name:REZBA, STEVEN H (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:REZBA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 ASPEN GROVE DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2837
Mailing Address - Country:US
Mailing Address - Phone:615-771-2151
Mailing Address - Fax:615-771-2161
Practice Address - Street 1:3326 ASPEN GROVE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2837
Practice Address - Country:US
Practice Address - Phone:615-771-2151
Practice Address - Fax:615-771-2161
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS5208122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist