Provider Demographics
NPI:1720154735
Name:JAMES B REID DDS
Entity Type:Organization
Organization Name:JAMES B REID DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BOWERS
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:413-665-4575
Mailing Address - Street 1:4 PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:SO DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01373
Mailing Address - Country:US
Mailing Address - Phone:413-665-4575
Mailing Address - Fax:413-665-9613
Practice Address - Street 1:4 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:SO DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373
Practice Address - Country:US
Practice Address - Phone:413-665-4575
Practice Address - Fax:413-665-9613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty