Provider Demographics
NPI:1528152550
Name:REEH, ERNEST S (DDS MS PHD)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:S
Last Name:REEH
Suffix:
Gender:M
Credentials:DDS MS PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 WILD PINES LANE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-5420
Mailing Address - Country:US
Mailing Address - Phone:651-439-8085
Mailing Address - Fax:651-439-9705
Practice Address - Street 1:2600 WILD PINES LANE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-5420
Practice Address - Country:US
Practice Address - Phone:651-439-8085
Practice Address - Fax:651-439-9705
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND102811223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics