Individual
DR. JAMIE REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12720 S ORANGE BLOSSOM TRL, # 22, ORLANDO, FL 32837-6225
(407) 240-2255
Mailing address
12720 S ORANGE BLOSSOM TRL, # 22, ORLANDO, FL 32837-6225
(407) 240-2255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17827
FL
1223G0001X
General Practice Dentistry
2901019143
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4815702
—
MI
01
—
88109
DELTA DENTAL
MI
Enumeration date
08/15/2006
Last updated
06/24/2012
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