Provider Demographics
NPI:1730295494
Name:REICH, WILLIAM ELMER (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ELMER
Last Name:REICH
Suffix:
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 1:202 N. PEASE
Mailing Address - Street 2:
Mailing Address - City:TOLONO
Mailing Address - State:IL
Mailing Address - Zip Code:61880
Mailing Address - Country:US
Mailing Address - Phone:217-485-5760
Mailing Address - Fax:
Practice Address - Street 1:202 N. PEASE
Practice Address - Street 2:
Practice Address - City:TOLONO
Practice Address - State:IL
Practice Address - Zip Code:61880
Practice Address - Country:US
Practice Address - Phone:217-485-5760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice