Provider Demographics
NPI:1497835284
Name:REINER, DEBRA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:S
Last Name:REINER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8846 N STONE MILL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9834
Mailing Address - Country:US
Mailing Address - Phone:419-882-4407
Mailing Address - Fax:
Practice Address - Street 1:8339 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TEMPERANCE
Practice Address - State:MI
Practice Address - Zip Code:48182-9285
Practice Address - Country:US
Practice Address - Phone:734-847-1955
Practice Address - Fax:734-847-4394
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010162011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice