Provider Demographics
NPI:1437319571
Name:MICHAEL O REIMELS, DDS & CATHERINE G REIMELS, DDS, PLLC
Entity Type:Organization
Organization Name:MICHAEL O REIMELS, DDS & CATHERINE G REIMELS, DDS, PLLC
Other - Org Name:REIMELS FAMILY & COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GROESCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-948-1111
Mailing Address - Street 1:13605 REESE BLVD WEST
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6445
Mailing Address - Country:US
Mailing Address - Phone:704-948-1111
Mailing Address - Fax:704-948-1991
Practice Address - Street 1:13605 REESE BLVD WEST
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6445
Practice Address - Country:US
Practice Address - Phone:704-948-1111
Practice Address - Fax:704-948-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7799122300000X
NC7919122300000X
124Q00000X, 126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Single Specialty
No126800000XDental ProvidersDental AssistantGroup - Single Specialty