Robert L Reifeis in Fort Wayne - Oral And Maxillofacial Surgery

Robert L Reifeis - NPI 1437179140

Robert L Reifeis is a Oral And Maxillofacial Surgery in Fort Wayne, Indiana. Robert L Reifeis practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Robert L Reifeis is 1437179140. The last update date is 2023-05-12.

Robert L Reifeis's current location address is 3303 Trier Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2609994929 and fax number 2607551086. The mailing address for Robert L Reifeis is 3303 Trier Rd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert L Reifeis
Address 3303 Trier Rd, Fort Wayne, Indiana
Phone Number 2609994929
Fax Number 2607551086
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1437179140
Provider Enumeration Date 2006-07-19
Last Updated Date 2023-05-12

Provider Mailing Address Detail

Address 3303 Trier Rd
City Fort Wayne
State Indiana (IN)
Post Code 468154768
Phone Number 2609994929
Fax Number 2607551086

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 12009415A
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
379003 IN BCBS/ANTHEM
12009415A IN INDIANA PROFESSIONAL LICENSING

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FAQs about Robert L Reifeis

What is the unique 10-digit identification code issued to Robert L Reifeis by the Centers for Medicare & Medicaid Services?

The Robert L Reifeis has been assigned the NPI (National Provider Identifier) 1437179140 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Robert L Reifeis's facilities are situated?

The facilities of Robert L Reifeis are physically located at the following address: 3303 Trier Rd, Fort Wayne, IN, 468154768.

What is Robert L Reifeis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Robert L Reifeis's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did the Robert L Reifeis receive the assignment of its 1437179140 from the Centers for Medicare & Medicaid Services?

The Robert L Reifeis was issued its 1437179140 by the Centers for Medicare & Medicaid Services on 2006-07-19.

When was the Robert L Reifeis's information last updated?

The Robert L Reifeis's information was last updated on 2023-05-12.

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