Individual
DR. GARY WAYNE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2500 NORTH STATE STREET, UMC SCHOOL OF DENTISTRY, JACKSON, MS 39216-4505
(601) 984-6025
(601) 984-6014
Mailing address
2500 NORTH STATE STREET, UMC SCHOOL OF DENTISTRY, JACKSON, MS 39216-4505
(601) 984-6025
(601) 984-6014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2098-84
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660321
—
MS
Enumeration date
09/21/2006
Last updated
04/18/2013
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