Reeves, John Breckenridge
Reeves, John Breckenridge is an individual health care provider with primary practice located at 1805 Celanese Rd , Rock Hill SC 29732. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reeves, John Breckenridge can be contacted via phone (803) 366-4186.Contact Information
Primary practice address
1805 Celanese Rd
Rock Hill SC 29732
Phone: (803) 366-4186
Fax: (803) 366-4187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2291 | South Carolina |
Profile Details
| NPI number | 1194748442 |
|---|---|
| LBN Legal business name | Reeves, John Breckenridge |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 9th, 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 | 1194748442 | NPPES |
| South Carolina | MEDICAID | 2291 |
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