Healthcare Provider Details

I. General information

NPI: 1922533348
Provider Name (Legal Business Name): ANDREW MILLER REED DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ANDREW MILLER GSCHWENG DMD

II. Dates (important events)

Enumeration Date: 04/23/2017
Last Update Date: 09/01/2021
Certification Date: 09/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 MAIN ST
ATKINSON NH
03811-2514
US

IV. Provider business mailing address

15 E RIDGE DR APT 110
MILFORD NH
03055-5112
US

V. Phone/Fax

Practice location:
  • Phone: 603-362-8410
  • Fax:
Mailing address:
  • Phone: 603-554-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number04375
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: