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Individual

DR. RYAN MATTHEW REEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1317 ABERCORN ST, SAVANNAH, GA 31401-6939
(912) 234-8282
Mailing address
1317 ABERCORN ST, SAVANNAH, GA 31401-6939
(912) 234-8282

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411477
VA
1223G0001X
General Practice Dentistry
Primary
DN015037
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54-1030707
FEDERAL TAX ID
VA
01
781417
UNITED CONCORDIA PROVIDER
VA
Enumeration date
02/12/2007
Last updated
01/17/2019
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