FRED DEE REA D.D.S. NPI 1790875847

NPI Information

  • NPI: 1790875847
  • Provider Name: FRED DEE REA, D.D.S.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 806 MEDICAL CIRCLE DRIVE
    SUITE 300
    LONGVIEW, TX
    ZIP 75605
  • Phone: (903) 236-7023

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NPI Details

Fred Dee Rea, D.D.S. is a periodontics dentist in Longview, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Fred Dee Rea, D.D.S. NPI is 1790875847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

806 MEDICAL CIRCLE DRIVE
SUITE 300
LONGVIEW, TX
ZIP 75605-110
Phone: (903) 236-7023
Fax: (903) 236-7723

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/8/2007.

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
11223P0300XDentistPeriodontics12317TEXASYes

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: 11/21/2025

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