Provider Demographics
NPI:1396848669
Name:REEVE FAMILY DENTISTRY
Entity Type:Organization
Organization Name:REEVE FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:REEVE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:507-281-2433
Mailing Address - Street 1:1131 6 STREET NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-1824
Mailing Address - Country:US
Mailing Address - Phone:507-281-2433
Mailing Address - Fax:
Practice Address - Street 1:1131 6 STREET NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1824
Practice Address - Country:US
Practice Address - Phone:507-281-2433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty