Provider Demographics
NPI:1457666216
Name:REID, ALAN DANIEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:DANIEL
Last Name:REID
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 1:933 SHASTA ST
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4114
Mailing Address - Country:US
Mailing Address - Phone:530-671-1770
Mailing Address - Fax:
Practice Address - Street 1:933 SHASTA ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4114
Practice Address - Country:US
Practice Address - Phone:530-671-1770
Practice Address - Fax:530-671-4778
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62235122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist