# REAVES PEDIATRIC DENTISTRY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Homewood Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013663400
- **Authorized official:** DR. CAITLIN REAVES DMD (OWNER)
- **Authorized official phone:** (334) 332-8911

## Contact information

- **Practice address:** 2828 CENTRAL AVE, HOMEWOOD, AL 35209-2504
- **Practice address phone:** (205) 332-3886
- **Practice address fax:** (205) 332-3887
- **Mailing address:** 2828 CENTRAL AVE, HOMEWOOD, AL 35209-2504
- **Mailing address phone:** (205) 332-3886
- **Mailing address fax:** (205) 332-3887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 02/24/2022