Provider Demographics
NPI:1588107254
Name:BRIAN S REEDER, DMD PLLC
Entity type:Organization
Organization Name:BRIAN S REEDER, DMD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-444-7761
Mailing Address - Street 1:110 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-3504
Mailing Address - Country:US
Mailing Address - Phone:603-444-7761
Mailing Address - Fax:603-444-6542
Practice Address - Street 1:110 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3504
Practice Address - Country:US
Practice Address - Phone:603-444-7761
Practice Address - Fax:603-444-6542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04272261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental