Individual
WILLIS EDWARD REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
626 E REELFOOT AVE, UNION CITY, TN 38261-5739
(731) 885-3561
(731) 885-3097
Mailing address
626 E REELFOOT AVE, UNION CITY, TN 38261-5739
(731) 885-3561
(731) 885-3097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3044538
BCBST PROVIDER NUMBER
TN
Enumeration date
03/07/2007
Last updated
07/08/2007
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