Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rebecca Gollub, DMD

Individual provider Pediatric Dentistry · NPI 1376160192

Dr. Rebecca Gollub, DMD is a Pediatric Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

240 S 40th St
Philadelphia, PA 19104-6030
Phone: (215) 898-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS042694 (PA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence DS042694 (PA)

Record details

NPI number1376160192
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 26, 2020
Last updated in NPPESOctober 4, 2020
Certification dateOctober 4, 2020

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