Provider Demographics
NPI:1124769344
Name:REITMEYER, ERIC AUSTIN (DMD)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:AUSTIN
Last Name:REITMEYER
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 LAKE BARNEGAT DR N
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1621
Mailing Address - Country:US
Mailing Address - Phone:732-995-4320
Mailing Address - Fax:
Practice Address - Street 1:368 LAKEHURST RD STE 305
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-7341
Practice Address - Country:US
Practice Address - Phone:732-473-1123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-03
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029673031223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry