Provider Demographics
NPI:1922533348
Name:REED, ANDREW MILLER (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MILLER
Last Name:REED
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:ANDREW
Other - Middle Name:MILLER
Other - Last Name:GSCHWENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:15 E RIDGE DR APT 110
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-5112
Mailing Address - Country:US
Mailing Address - Phone:603-554-2850
Mailing Address - Fax:
Practice Address - Street 1:12 MAIN ST
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NH
Practice Address - Zip Code:03811-2514
Practice Address - Country:US
Practice Address - Phone:603-362-8410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-23
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE390200000X
NH043751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program