REAVES DENTAL PRACTICE PLLC NPI 1124264866

NPI Information

NPI: 1124264866
Provider Name: REAVES DENTAL PRACTICE, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4301 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 736-0139
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REAVES DENTAL PRACTICE, PLLC is a dental clinic center in New Hartford, NY. REAVES DENTAL PRACTICE, PLLC NPI is 1124264866. The provider is registered as an organization entity type.

The provider's business location address is:

4301 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
ZIP 13413-317
Phone: (315) 736-0139
Fax: (315) 768-6148

The provider's authorized official is Justin J Reaves .
The authorized official title is Owner - General Dentist and has the following contact phone number (315) 736-0139.

The enumeration date for this NPI number is 12/31/2008 and was last updated on 11/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	032955	NEW YORK	No
2	261QD0000X	Clinic/Center	Dental	053015	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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