# REEBYE, PARK & RICHMAN DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REEBYE, PARK & RICHMAN DDS PLC
- **Other names:** Triangle Implant Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639450869
- **Legal business name:** REEBYE, PARK & RICHMAN DDS PLC
- **Authorized official:** ANDRES F. HENAO (TECHNICAL DIRECTOR)
- **Authorized official phone:** (919) 563-2897

## Contact information

- **Practice address:** 5318 NC HIGHWAY 55 SUITE 106, DURHAM, NC 27713
- **Practice address phone:** (919) 806-2912
- **Practice address fax:** (919) 806-2915
- **Mailing address:** 5318 NC HIGHWAY 55 SUITE 106, DURHAM, NC 27713
- **Mailing address phone:** (919) 806-2912
- **Mailing address fax:** (919) 806-2915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7381 | NC | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2011
- **Last updated:** 09/26/2023
