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Organization
REAVES DENTAL PRACTICE, PLLC
Active
Organization
REAVES DENTAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN J REAVES DDS (OWNER - GENERAL DENTIST)
(315) 736-0139
Entity
Organization
Contact information
Practice address
4301 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413-5317
(315) 736-0139
(315) 768-6148
Mailing address
4301 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413-5317
(315) 736-0139
(315) 768-6148
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
032955
NY
261QD0000X
Dental Clinic/Center
Primary
053015
NY
Other
Enumeration date
12/31/2008
Last updated
11/05/2014
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