Provider Demographics
NPI:1952536583
Name:REED, ASHLEY THERESA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:THERESA
Last Name:REED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 E STATE HIGHWAY 54
Mailing Address - Street 2:STE 1
Mailing Address - City:SEYMOUR
Mailing Address - State:WI
Mailing Address - Zip Code:54165-1904
Mailing Address - Country:US
Mailing Address - Phone:920-833-2215
Mailing Address - Fax:920-833-9940
Practice Address - Street 1:344 E STATE HIGHWAY 54
Practice Address - Street 2:STE 1
Practice Address - City:SEYMOUR
Practice Address - State:WI
Practice Address - Zip Code:54165-1904
Practice Address - Country:US
Practice Address - Phone:920-833-2215
Practice Address - Fax:920-833-9940
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6377-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice