Provider Demographics
NPI:1588858252
Name:REED, DAVID CALVIN III (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CALVIN
Last Name:REED
Suffix:III
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 1:444 N FLYNN RD
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46391-9647
Mailing Address - Country:US
Mailing Address - Phone:219-785-4609
Mailing Address - Fax:219-785-4600
Practice Address - Street 1:444 N FLYNN RD
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:IN
Practice Address - Zip Code:46391-9647
Practice Address - Country:US
Practice Address - Phone:219-785-4609
Practice Address - Fax:219-785-4600
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011021A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice