Jeffrey Damon Reitzel in Waltham - Dentist
Jeffrey Damon Reitzel - NPI 1871682906
Jeffrey Damon Reitzel is a Dentist in Waltham, Massachusetts. Jeffrey Damon Reitzel practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Damon Reitzel is 1871682906. The last update date is 2014-07-06.
Jeffrey Damon Reitzel's current location address is 200 5th Ave, Waltham, Massachusetts. You can contact this provider via phone number 7816470772. The mailing address for Jeffrey Damon Reitzel is 200 5th Ave, Waltham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Damon Reitzel |
|---|---|
| Address | 200 5th Ave, Waltham, Massachusetts |
| Phone Number | 7816470772 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1871682906 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2014-07-06 |
Provider Mailing Address Detail
| Address | 200 5th Ave |
|---|---|
| City | Waltham |
| State | Massachusetts (MA) |
| Post Code | 24518779 |
| Phone Number | 7816470772 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4214 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZX4214 | SC | -- |
Post Comment/ Review Below
What is the Jeffrey Damon Reitzel's 1871682906?
The Jeffrey Damon Reitzel's NPI (National Provider Identifier) Number is 1871682906. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeffrey Damon Reitzel is geographically located?
The Jeffrey Damon Reitzel is physically situated at the following location: 200 5Th Ave, Waltham, MA, 24518779.
What is Jeffrey Damon Reitzel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey Damon Reitzel is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871682906 to Jeffrey Damon Reitzel?
The Centers for Medicare & Medicaid Services assigned the 1871682906 to Jeffrey Damon Reitzel on 2006-10-12.
As of what date were the details related to Jeffrey Damon Reitzel most recently updated or revised?
The information pertaining to Jeffrey Damon Reitzel, including its address, specialty, and other relevant details, was last updated or revised on 2014-07-06.