Provider Demographics
NPI:1306229893
Name:REECE, DANIEL CAMERON (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CAMERON
Last Name:REECE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 N 8TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8856
Mailing Address - Country:US
Mailing Address - Phone:970-245-2222
Mailing Address - Fax:
Practice Address - Street 1:2530 N 8TH ST STE 103
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8856
Practice Address - Country:US
Practice Address - Phone:970-245-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024543122300000X
CODEN.002042731223S0112X
CODR.00636301223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist