Provider Demographics
NPI:1780722298
Name:REINECKER, RANDAL CORY (DDS)
Entity type:Individual
Prefix:MR
First Name:RANDAL
Middle Name:CORY
Last Name:REINECKER
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 1:212 LOWELL DRIVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606
Mailing Address - Country:US
Mailing Address - Phone:610-689-0224
Mailing Address - Fax:
Practice Address - Street 1:5 HEARTHSTONE COURT
Practice Address - Street 2:SUITE 102
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606
Practice Address - Country:US
Practice Address - Phone:610-370-2338
Practice Address - Fax:610-370-3026
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021997L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist