Organization
REICHLEY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCHELLE LOUISE REICHLEY D.D.S. (PRESIDENT)
(937) 426-5560
Entity
Organization
Contact information
Practice address
1450 HANES RD, SUITE B, BEAVERCREEK, OH 45434-6579
(937) 426-5560
Mailing address
1450 HANES RD, SUITE B, BEAVERCREEK, OH 45434-6579
(937) 426-5560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.021404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659433902
INDIVIDUAL NPI AS PERSON AND PRACTITIONER VERSUS CORPORATION
—
Enumeration date
12/03/2008
Last updated
12/03/2008
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