Provider Demographics
NPI:1336718212
Name:R & R DENTAL SPECIALISTS, PC
Entity Type:Organization
Organization Name:R & R DENTAL SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:REYNALDO
Authorized Official - Middle Name:T
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-949-2400
Mailing Address - Street 1:4020 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2829
Mailing Address - Country:US
Mailing Address - Phone:770-949-2400
Mailing Address - Fax:
Practice Address - Street 1:4020 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2829
Practice Address - Country:US
Practice Address - Phone:770-949-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty