Provider Demographics
NPI:1043693674
Name:REED, JUSTIN CLAUDE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:CLAUDE
Last Name:REED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 W CHAPMAN DR
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-9054
Mailing Address - Country:US
Mailing Address - Phone:940-458-5000
Mailing Address - Fax:
Practice Address - Street 1:816 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2975
Practice Address - Country:US
Practice Address - Phone:940-566-7988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2021-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29957122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist