Provider Demographics
NPI:1205564234
Name:REIBEL, YVETTE (RDH)
Entity type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:
Last Name:REIBEL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 DELAWARE ST. SE
Mailing Address - Street 2:MALCOM MOOS HEALTH SCIENCE TOWER 9-372B
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-0942
Mailing Address - Fax:
Practice Address - Street 1:515 DELAWARE ST. SE
Practice Address - Street 2:MALCOM MOOS HEALTH SCIENCE TOWER 9-372B
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-0942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNH7638124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist