Provider Demographics
NPI:1124174115
Name:REYLING, JOSEPH E (DDS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E
Last Name:REYLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 809
Mailing Address - Street 2:1009 6TH AVE N
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230
Mailing Address - Country:US
Mailing Address - Phone:406-228-2656
Mailing Address - Fax:406-228-2656
Practice Address - Street 1:1009 6TH AVE N
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230
Practice Address - Country:US
Practice Address - Phone:406-228-2656
Practice Address - Fax:406-228-2656
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1695122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist