MEDICARE: REINITZ DENTAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	14357	TX

General Provider Information

NPI Number	:	1134387483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REINITZ DENTAL SERVICES

Provider Business Mailing Address
First Line	:	6307 BROADWAY ST
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77581-7835
Country	:	US
Telephone Number	:	281-485-6005
Fax Number	:	281-485-7458

Provider Business Practice Location Address
First Line	:	6307 BROADWAY ST
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77581-7835
Country	:	US
Telephone Number	:	281-485-6005
Fax Number	:	281-485-7458

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICHARD JOSEPH REINITZ
Credential	:	DDS
Telephone Number	:	281-485-6005

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	01/13/2010

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1760485254 — DR. ALLISON BECKER OCHSNER M.D.
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Directions to “REINITZ DENTAL SERVICES ” Practice Location

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