Provider Demographics
NPI:1346759644
Name:GREGORY S REECE, DMD, PLLC
Entity Type:Organization
Organization Name:GREGORY S REECE, DMD, PLLC
Other - Org Name:DENTISTRY OF THE QUEEN CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:S
Authorized Official - Last Name:REECE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-596-6767
Mailing Address - Street 1:3014 BAUCOM RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-2393
Mailing Address - Country:US
Mailing Address - Phone:704-596-6767
Mailing Address - Fax:704-596-7790
Practice Address - Street 1:3014 BAUCOM RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-2393
Practice Address - Country:US
Practice Address - Phone:704-596-6767
Practice Address - Fax:704-596-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental