Organization
GLENN A REAVES DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ASHLEY REAVES DDS (OWNER - GENERAL DENTIST)
(315) 736-0139
Entity
Organization
Contact information
Practice address
4301 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413
(315) 736-0139
(315) 768-6148
Mailing address
4301 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413
(315) 736-0139
(315) 768-6148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032955
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00551102
—
NY
Enumeration date
07/19/2005
Last updated
02/02/2016
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