Individual
DR. KATELYN OLENICH REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
350 OAK TREE LN STE 100, DAKOTA DUNES, SD 57049-5506
(605) 242-4700
Mailing address
411 GLEN EAGLE CT, DAKOTA DUNES, SD 57049-5164
(402) 649-1511
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
11091
TN
1223P0221X
Pediatric Dentistry
Primary
DDS-09836
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0509233
—
IA
05
—
D1295
—
SD
Enumeration date
07/13/2016
Last updated
03/30/2021
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