Reese, Thomas Alan
Reese, Thomas Alan is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reese, Thomas Alan can be contacted via phone (505) 368-6401.Contact Information
Primary practice address
Us Hwy 491 North
Shiprock NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS025922L | Pennsylvania |
Profile Details
| NPI number | 1932196276 |
|---|---|
| LBN Legal business name | Reese, Thomas Alan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Sep 20th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932196276 | NPPES |
| Arizona | MEDICAID | 703753 | |
| Arizona | MEDICAID | R5287 | |
| Arizona | MEDICAID | 99056551 |
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