Individual
DR. TAYLOR WAYNE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
780 NISSAN DR, SMYRNA, TN 37167-4407
(615) 930-1392
Mailing address
2800 COLLEGE AVE BLDG 273, ALTON, IL 62002-4742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NO OTHER NUMBERS
—
Enumeration date
08/17/2019
Last updated
06/25/2020
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