Provider Demographics
NPI:1699879049
Name:REESE, ALLISON SUZANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:SUZANNE
Last Name:REESE
Suffix:
Gender:F
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:P.O. BOX 6035
Mailing Address - Street 2:1231 SHILOH CHURCH ROAD
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603
Mailing Address - Country:US
Mailing Address - Phone:828-495-8256
Mailing Address - Fax:
Practice Address - Street 1:1231 SHILOH CHURCH RD
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-7856
Practice Address - Country:US
Practice Address - Phone:828-495-8256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC78001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice