Provider Demographics
NPI:1376544288
Name:REIGH, DOUGLAS L (DMD)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:L
Last Name:REIGH
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 1:27 VILLAGE CENTER DR
Mailing Address - Street 2:STE A-5
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-3342
Mailing Address - Country:US
Mailing Address - Phone:610-777-7002
Mailing Address - Fax:610-685-8013
Practice Address - Street 1:27 VILLAGE CENTER DR
Practice Address - Street 2:STE A-5
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-3342
Practice Address - Country:US
Practice Address - Phone:610-777-7002
Practice Address - Fax:610-685-8013
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-026016-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA621121OtherUNITED CONCORDIA DENTAL