Provider Demographics
NPI:1336369354
Name:R R REED DDS PA
Entity Type:Organization
Organization Name:R R REED DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:R
Authorized Official - Middle Name:R
Authorized Official - Last Name:REED
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:352-732-5111
Mailing Address - Street 1:2720 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5519
Mailing Address - Country:US
Mailing Address - Phone:352-732-5111
Mailing Address - Fax:352-622-1288
Practice Address - Street 1:2720 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5519
Practice Address - Country:US
Practice Address - Phone:352-732-5111
Practice Address - Fax:352-622-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL52941223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty