Provider Demographics
NPI:1700292760
Name:REED, DAVID KENNETH (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:KENNETH
Last Name:REED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2123 SW FAIRLAWN PLAZA DR # 5
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-1512
Mailing Address - Country:US
Mailing Address - Phone:785-274-9917
Mailing Address - Fax:
Practice Address - Street 1:2123 SW FAIRLAWN PLAZA DR # 5
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1512
Practice Address - Country:US
Practice Address - Phone:785-274-9917
Practice Address - Fax:785-274-9918
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS609751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice