Provider Demographics
NPI:1932503620
Name:JOANNE BLOCK RIEF
Entity Type:Organization
Organization Name:JOANNE BLOCK RIEF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-363-2121
Mailing Address - Street 1:10 CROSSROADS DR STE 203
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5461
Mailing Address - Country:US
Mailing Address - Phone:410-363-2121
Mailing Address - Fax:
Practice Address - Street 1:10 CROSSROADS DR STE 203
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5461
Practice Address - Country:US
Practice Address - Phone:410-363-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9146122300000X
MD15517122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty