Provider Demographics
NPI:1609901180
Name:DAVID A. REESE DDS PC
Entity type:Organization
Organization Name:DAVID A. REESE DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-637-2255
Mailing Address - Street 1:214 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2501
Mailing Address - Country:US
Mailing Address - Phone:717-637-2255
Mailing Address - Fax:717-637-3553
Practice Address - Street 1:214 BROADWAY
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2501
Practice Address - Country:US
Practice Address - Phone:717-637-2255
Practice Address - Fax:717-637-3553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022762L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty