Provider Demographics
NPI:1821011073
Name:REICH, JAMES POWER (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:POWER
Last Name:REICH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 BICENTENNIAL HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1979
Mailing Address - Country:US
Mailing Address - Phone:413-782-7042
Mailing Address - Fax:413-782-7046
Practice Address - Street 1:275 BICENTENNIAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1979
Practice Address - Country:US
Practice Address - Phone:413-782-7042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice