Provider Demographics
NPI:1205844610
Name:REICHHELD TING ORTHODONTICS
Entity Type:Organization
Organization Name:REICHHELD TING ORTHODONTICS
Other - Org Name:REICHHELD FAMILY ORTHODONTICS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-692-5799
Mailing Address - Street 1:75 ARCAND DR
Mailing Address - Street 2:PROFESSIONAL PARK
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852
Mailing Address - Country:US
Mailing Address - Phone:978-453-3872
Mailing Address - Fax:978-453-0461
Practice Address - Street 1:73 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886
Practice Address - Country:US
Practice Address - Phone:978-692-5799
Practice Address - Fax:978-692-5792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA162281223X0400X
MA168801223X0400X
MA202591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty