Provider Demographics
NPI:1235510413
Name:REEH, STEPHANIE PINTO (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:PINTO
Last Name:REEH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3832S TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3712
Mailing Address - Country:US
Mailing Address - Phone:979-846-3101
Mailing Address - Fax:
Practice Address - Street 1:3832 S TEXAS AVE
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3712
Practice Address - Country:US
Practice Address - Phone:979-846-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-14
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30987122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist