Individual
DR. GLENN ASHLEY REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
07/20/2005
Last updated
02/02/2016
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