Provider Demographics
NPI:1124160874
Name:REED, VERNE (DMD)
Entity type:Individual
Prefix:DR
First Name:VERNE
Middle Name:
Last Name:REED
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 W RESERVE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2130
Mailing Address - Country:US
Mailing Address - Phone:406-755-3636
Mailing Address - Fax:406-755-3638
Practice Address - Street 1:770 W RESERVE DR STE 1
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2130
Practice Address - Country:US
Practice Address - Phone:406-755-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT96141223E0200X
PADS0370311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice