Provider Demographics
NPI:1306414909
Name:REID, GINA MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:MARIE
Last Name:REID
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:PAWLOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2113 SAWYER DR.
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304
Mailing Address - Country:US
Mailing Address - Phone:716-731-3141
Mailing Address - Fax:716-731-3141
Practice Address - Street 1:2113 SAWYER DR.
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304
Practice Address - Country:US
Practice Address - Phone:716-731-3141
Practice Address - Fax:716-731-3141
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program