Provider Demographics
NPI:1952000796
Name:JOSEPH A REIDY DMD PLLC
Entity Type:Organization
Organization Name:JOSEPH A REIDY DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALOYSIUS
Authorized Official - Last Name:REIDY
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-674-4031
Mailing Address - Street 1:101 JEREMIAH V SULLIVAN DR FL 3
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-6812
Mailing Address - Country:US
Mailing Address - Phone:508-674-4031
Mailing Address - Fax:508-324-4045
Practice Address - Street 1:101 JEREMIAH V SULLIVAN DR FL 3
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-6812
Practice Address - Country:US
Practice Address - Phone:508-674-4031
Practice Address - Fax:508-324-4045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental