Provider Demographics
NPI:1114009834
Name:JOHN M. REIHNER, D.D.S., FAGD
Entity Type:Organization
Organization Name:JOHN M. REIHNER, D.D.S., FAGD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:REIHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-222-2256
Mailing Address - Street 1:125 N FRANKLIN DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5892
Mailing Address - Country:US
Mailing Address - Phone:724-222-2256
Mailing Address - Fax:724-222-9384
Practice Address - Street 1:125 N FRANKLIN DR
Practice Address - Street 2:SUITE 5
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5892
Practice Address - Country:US
Practice Address - Phone:724-222-2256
Practice Address - Fax:724-222-9384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021555L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA113059OtherUNITED CONCORDIA PROVIDER
PA1598854556OtherNPI # DR. KOSTYAL
PA1194733675OtherNPI # JOHN REIHNER
PA137901OtherUNITED CONCORDIA PROVIDER
PA113059OtherUNITED CONCORDIA PROVIDER