Reaves Dental Practice, Pllc

NPI 1124264866 - Clinic/Center - 261QD0000X

NPI Details
NPI 1124264866
Enumeration Date 12/31/2008
Last Updated 11/05/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JUSTIN J JUSTIN
Position OWNER - GENERAL DENTIST
Phone (315) 736-0139
Fax (315) 768-6148
Practice Location
4301 MIDDLE SETTLEMENT RD
NEW HARTFORD NY, 13413-5317, US
Phone (315) 736-0139
Fax (315) 768-6148
Business Location
4301 MIDDLE SETTLEMENT RD
NEW HARTFORD NY, 13413-5317, US
Phone (315) 736-0139
Fax (315) 768-6148
Toxanomy
Taxonomy Code 261QD0000X
License State New York
License Number 032955
Remove 1124264866 NPI Number
 

According to our database, Reaves Dental Practice, Pllc NPI is 1124264866, taxonomy code is 261QD0000X and license number is 032955, license state is located at New York. Reaves Dental Practice, Pllc physically located at 4301 Middle Settlement Rd, New Hartford NY, 13413-5317. NPI Number 1033115704 has the healthcare provider type.

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1124264866 NPI number is provided on an as is basis without warranty of any kind. 1124264866 is maintained by the National Plan & Provider Enumeration System. The contents of Reaves Dental Practice, Pllc are for informational purposes only.