Provider Demographics
NPI:1033284492
Name:REILER, CARLEE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARLEE
Middle Name:A
Last Name:REILER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10015 BROADWAY ST STE A
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7879
Mailing Address - Country:US
Mailing Address - Phone:713-436-0200
Mailing Address - Fax:713-436-0211
Practice Address - Street 1:10015 BROADWAY ST STE A
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7879
Practice Address - Country:US
Practice Address - Phone:713-436-0200
Practice Address - Fax:713-436-0211
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice