Provider Demographics
NPI:1518924786
Name:REEVE, LYNN HELM SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:HELM
Last Name:REEVE
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 ALBION AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-1850
Mailing Address - Country:US
Mailing Address - Phone:507-235-3968
Mailing Address - Fax:
Practice Address - Street 1:1307 ALBION AVE
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-1840
Practice Address - Country:US
Practice Address - Phone:507-235-3968
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN84891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice