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Individual

CLAY DAVIS REESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
107 S HINE ST, ATHENS, AL 35611-2323
(256) 233-2910
(256) 230-0892
Mailing address
107 S HINE ST, ATHENS, AL 35611-2323
(256) 233-2910
(256) 230-0892

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5520
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-40465
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/21/2006
Last updated
01/29/2008
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