Individual
DR. SHAWN E REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS PC
Contact information
Practice address
3434 KIMBALL AVENUE, WATERLOO, IA 50702
(319) 236-0861
(319) 236-0410
Mailing address
3434 KIMBALL AVENUE, WATERLOO, IA 50702
(319) 236-0861
(319) 236-0410
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
08003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200550
—
IA
01
—
23960
BCBS
IA
01
—
64004970
BCBS
AL
Enumeration date
10/04/2006
Last updated
07/08/2007
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