Provider Demographics
NPI:1376248088
Name:DR REED E GETHMANN PA
Entity Type:Organization
Organization Name:DR REED E GETHMANN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REED
Authorized Official - Middle Name:E
Authorized Official - Last Name:GETHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:507-235-3813
Mailing Address - Street 1:717 S STATE ST STE 600
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-4475
Mailing Address - Country:US
Mailing Address - Phone:507-235-3813
Mailing Address - Fax:507-235-6796
Practice Address - Street 1:717 S STATE ST STE 600
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-4475
Practice Address - Country:US
Practice Address - Phone:507-235-3813
Practice Address - Fax:507-235-6796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty