Provider Demographics
NPI:1417376831
Name:REID, NATOYA ROSEMARIE (DMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:NATOYA
Middle Name:ROSEMARIE
Last Name:REID
Suffix:
Gender:F
Credentials:DMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6319 ARBOR WAY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6878
Mailing Address - Country:US
Mailing Address - Phone:502-298-3452
Mailing Address - Fax:
Practice Address - Street 1:10905 FORT WASHINGTON RD STE 214
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5840
Practice Address - Country:US
Practice Address - Phone:301-292-6900
Practice Address - Fax:301-292-3993
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD163541223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery