Daniel Lee Reaves DDS

NPI 1013931724 - Dentist - 1223S0112X

NPI Details
NPI 1013931724
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1030 JEFFERSON AVE
DENTAL SERVICE (160)
MEMPHIS TN, 38104-2127, US
Phone (901) 523-8990
Fax (901) 577-7307
Business Location
5575 BAYBERRY CV
MEMPHIS TN, 38120-2443, US
Phone (901) 821-9861
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Mississippi
License Number 1613-74
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According to our database, Dr. Daniel Lee Reaves DDS NPI is 1013931724, taxonomy code is 1223S0112X and license number is 1613-74, license state is located at Mississippi. Daniel Lee Reaves DDS physically located at 1030 Jefferson Ave, Memphis TN, 38104-2127. NPI Number Daniel Lee Reaves DDS has the Individual type.

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1013931724 NPI number is provided on an as is basis without warranty of any kind. 1013931724 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Lee Reaves DDS are for informational purposes only.