Provider Demographics
NPI:1437362068
Name:MICHAEL R. REICH, D.D.S., P.C.
Entity Type:Organization
Organization Name:MICHAEL R. REICH, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:REICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-522-6340
Mailing Address - Street 1:7110 VENOY
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-1637
Mailing Address - Country:US
Mailing Address - Phone:734-522-6340
Mailing Address - Fax:734-522-4043
Practice Address - Street 1:7110 VENOY
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1637
Practice Address - Country:US
Practice Address - Phone:734-522-6340
Practice Address - Fax:734-522-4043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI138051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty