Provider Demographics
NPI:1679615397
Name:REESE, STEVEN ANSON (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ANSON
Last Name:REESE
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 OYSTER POINT RD STE D
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6926
Mailing Address - Country:US
Mailing Address - Phone:757-249-4203
Mailing Address - Fax:757-249-4208
Practice Address - Street 1:401 OYSTER POINT RD STE D
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-6926
Practice Address - Country:US
Practice Address - Phone:757-249-4203
Practice Address - Fax:757-249-4208
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX186491223X0400X
VA04014157231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics