Individual
DR. ANDREW A REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
780 W CHERRY LN, MERIDIAN, ID 83642-1617
(208) 888-4711
(208) 888-0308
Mailing address
780 W CHERRY LN, MERIDIAN, ID 83642-1617
(208) 888-4711
(208) 888-0308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3934
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10156532
REGENCE BS OF ID-MER
ID
01
—
10156533
REGENCE BS OF ID-MIDD
ID
01
—
134932
TRI-CARE
ID
01
—
6P041
BLUE CROSS OF ID-MER
ID
01
—
6P042
BLUE CROSS OF ID-MIDD
ID
01
—
D3964
DELTA DENTAL OF ID
ID
Enumeration date
08/01/2006
Last updated
07/09/2007
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