MEDICARE: REED DENTAL

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1366181984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REED DENTAL

Provider Business Mailing Address
First Line	:	1516 KANAWHA BLVD W
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25387-2533
Country	:	US
Telephone Number	:	304-345-7272
Fax Number	:	304-345-7287

Provider Business Practice Location Address
First Line	:	1516 KANAWHA BLVD W
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25387-2533
Country	:	US
Telephone Number	:	304-345-7272
Fax Number	:	304-345-7287

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. KYLE PATRICK REED
Credential	:	DDS
Telephone Number	:	304-345-7272

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	06/01/2022

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Directions to “REED DENTAL ” Practice Location

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