Individual
DR. ROBERT L REIFEIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12009415A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379003
BCBS/ANTHEM
IN
01
—
12009415A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
07/19/2006
Last updated
05/12/2023
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