MEDICARE: REED ORTHODONTICS, INC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	3729	WV

General Provider Information

NPI Number	:	1881134690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REED ORTHODONTICS, INC

Provider Business Mailing Address
First Line	:	63 WHARF ST
Second Line	:	SUITE 100
City	:	MORGANTOWN
State	:	WV
Zip	:	26501-5937
Country	:	US
Telephone Number	:	304-241-1937
Fax Number	:	304-241-4381

Provider Business Practice Location Address
First Line	:	63 WHARF ST
Second Line	:	SUITE 100
City	:	MORGANTOWN
State	:	WV
Zip	:	26501-5937
Country	:	US
Telephone Number	:	304-241-1937
Fax Number	:	304-241-4381

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERICA WARREN REED
Credential	:	DDS, MS
Telephone Number	:	304-241-1937

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	02/27/2017

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Directions to “REED ORTHODONTICS, INC ” Practice Location

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