Individual
DR. CHAD MONROE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
29933 E STATE HIGHWAY 51, COWETA, OK 74429-7684
(918) 279-7100
(918) 279-6430
Mailing address
29933 E HWY 51, COWETA, OK 74429
(918) 279-7100
(918) 279-6430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5958
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200201780A
—
OK
05
—
200210270A
—
OK
Enumeration date
07/19/2007
Last updated
02/14/2013
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