Leslie Reeder in Evanston - Dentist

Leslie Reeder - NPI 1497740724

Leslie Reeder is a Dentist in Evanston, Illinois. Leslie Reeder practices all healthcare services and medical treatments related to Dentist. The NPI Number for Leslie Reeder is 1497740724. The last update date is 2012-06-14.

Leslie Reeder's current location address is 636 Church St Ste 722, Evanston, Illinois. You can contact this provider via phone number 8474757754. The mailing address for Leslie Reeder is 636 Church St Ste 722, Evanston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Reeder
Address 636 Church St Ste 722, Evanston, Illinois
Phone Number 8474757754
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1497740724
Provider Enumeration Date 2005-09-13
Last Updated Date 2012-06-14

Provider Mailing Address Detail

Address 636 Church St Ste 722
City Evanston
State Illinois (IL)
Post Code 602014587
Phone Number 8474757754
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19022286
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Leslie Reeder

What is the Leslie Reeder's unique identification number?

The Leslie Reeder has been assigned the NPI (National Provider Identifier) Number 1497740724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Leslie Reeder is geographically located?

The Leslie Reeder is physically situated at the following location: 636 Church St Ste 722, Evanston, IL, 602014587.

What is Leslie Reeder's specialized field of practice, and what is the corresponding taxonomy classification code?

The Leslie Reeder's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497740724 to Leslie Reeder?

The Leslie Reeder received its 1497740724 assignment from the Centers for Medicare & Medicaid Services on 2005-09-13.

As of what date were the details related to Leslie Reeder most recently updated or revised?

The information pertaining to Leslie Reeder, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-14.

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