Organization
ALLAN L. REID PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN L. REID DMD (PRESIDENT)
(812) 471-9926
Entity
Organization
Contact information
Practice address
4828 LINCOLN AVE, EVANSVILLE, IN 47715-4110
(812) 471-9926
(182) 471-9928
Mailing address
4828 LINCOLN AVE, EVANSVILLE, IN 47715-4110
(812) 471-9926
(182) 471-9928
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
12008873A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200267070
—
IN
Enumeration date
02/08/2011
Last updated
02/08/2011
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