Provider Demographics
NPI:1104371061
Name:TERENCE M REED DDS PC
Entity Type:Organization
Organization Name:TERENCE M REED DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ACRES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:315-265-3377
Mailing Address - Street 1:83 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-1751
Mailing Address - Country:US
Mailing Address - Phone:315-265-3377
Mailing Address - Fax:
Practice Address - Street 1:83 MARKET ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1751
Practice Address - Country:US
Practice Address - Phone:315-265-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054490261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental