Provider Demographics
NPI:1033208392
Name:REINHART, JOEL WAYNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:WAYNE
Last Name:REINHART
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8325 GUNN HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1608
Mailing Address - Country:US
Mailing Address - Phone:813-792-0041
Mailing Address - Fax:813-792-0051
Practice Address - Street 1:8325 GUNN HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1608
Practice Address - Country:US
Practice Address - Phone:813-792-0041
Practice Address - Fax:813-792-0051
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN159691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice