Provider Demographics
NPI:1083318026
Name:NORMA N. REYES DDS PPLC
Entity Type:Organization
Organization Name:NORMA N. REYES DDS PPLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:N
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-734-1886
Mailing Address - Street 1:4522 FREDERICKSBURG RD STE A24A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-6521
Mailing Address - Country:US
Mailing Address - Phone:210-734-1886
Mailing Address - Fax:210-734-1889
Practice Address - Street 1:4522 FREDERICKSBURG RD STE A24A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-6521
Practice Address - Country:US
Practice Address - Phone:210-734-1886
Practice Address - Fax:210-734-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty