Provider Demographics
NPI:1629371588
Name:AARON P REEVES, DMD, INC
Entity type:Organization
Organization Name:AARON P REEVES, DMD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:916-392-1000
Mailing Address - Street 1:8191 TIMBERLAKE WAY
Mailing Address - Street 2:#100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5418
Mailing Address - Country:US
Mailing Address - Phone:916-392-1000
Mailing Address - Fax:
Practice Address - Street 1:8191 TIMBERLAKE WAY
Practice Address - Street 2:#100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5418
Practice Address - Country:US
Practice Address - Phone:916-392-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA477851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty