MEDICARE: DR. RICHARD LELAND REICH D.D.S.

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	848	NV

General Provider Information

NPI Number	:	1336222090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD LELAND REICH D.D.S.

Provider Business Mailing Address
First Line	:	602 E CAROLINE ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-4002
Country	:	US
Telephone Number	:	775-882-7676
Fax Number	:	775-882-8782

Provider Business Practice Location Address
First Line	:	602 E CAROLINE ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-4002
Country	:	US
Telephone Number	:	775-882-7676
Fax Number	:	775-882-8782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. RICHARD LELAND REICH D.D.S.” Practice Location

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