Krista Reaves is a Dental Assistant in Vancouver, Washington. Krista Reaves practices all healthcare services and medical treatments related to Dental Assistant. The NPI Number for Krista Reaves is 1174661466. The last update date is 2007-07-08.
Krista Reaves's current location address is 12711 Se Mill Plain Blvd, Vancouver, Washington. You can contact this provider via phone number 3608964484. The mailing address for Krista Reaves is 12711 Se Mill Plain Blvd, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krista Reaves |
|---|---|
| Address | 12711 Se Mill Plain Blvd, Vancouver, Washington |
| Phone Number | 3608964484 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | EFTA |
NPI Number Detail
| NPI Number | 1174661466 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12711 Se Mill Plain Blvd |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 9868460530 |
| Phone Number | 3608964484 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Assistant |
|---|---|
| Taxonomy | 126800000X |
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Definition: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. Th |
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What is the unique 10-digit identifier code issued to Krista Reaves by the Centers for Medicare & Medicaid Services?
The Krista Reaves has been assigned the NPI (National Provider Identifier) 1174661466 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Krista Reaves's physical address?
The Krista Reaves is physically located at 12711 Se Mill Plain Blvd, in the city of Vancouver, WA, with the postal code 9868460530.
What is Krista Reaves's area of expertise and its corresponding taxonomy classification?
The Krista Reaves's field of specialization is Dental Assistant, and it falls under the taxonomy code 126800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1174661466 to Krista Reaves?
The Centers for Medicare & Medicaid Services assigned the 1174661466 to Krista Reaves on 2007-02-01.
As of what date was the information pertaining to Krista Reaves, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Krista Reaves, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC