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

Dr. Theodore Rebich Jr., PHDDMDMPH

Individual provider General Practice Dentistry · NPI 1548533763

Dr. Theodore Rebich Jr., PHDDMDMPH practises General Practice Dentistry in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

30 E 40th St Ste 100
New York, NY 10016-1201 Not confirmed with CMS for 14 years — call before visiting
Phone: (646) 424-1160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0321511 (NY)

Record details

NPI number1548533763
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDDMDMPH
Sole proprietorYes
NPI enumeratedFebruary 18, 2012
Last updated in NPPESFebruary 18, 2012

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