Glenn A Reaves Dds

LBN: Glenn A Reaves Dds
Glenn A Reaves Dds is an health care organization with primary practice located at 4301 Middle Settlement Rd , New Hartford NY 13413. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Glenn A Reaves Dds can be contacted via phone (315) 736-0139, or through Reaves, Glenn Ashley via phone (315) 736-0139.

Contact Information

Primary practice address
4301 Middle Settlement Rd New Hartford NY 13413
Phone: (315) 736-0139
Fax: (315) 768-6148
Website:
Map and Directions
Authorized official contact:
Name: Reaves, Glenn Ashley Doctor of Dental Surgery (DDS)
Phone: (315) 736-0139

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 032955 New York

Profile Details

NPI number 1326047515
LBN Legal business name Glenn A Reaves Dds
DBA Doing business as
Authorized official Reaves, Glenn Ashley Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 2nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326047515 NPPES
New York MEDICAID 00551102

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