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General NPI Number Information
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NPI Number | 1073120135
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Entity Type | Individual
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Provider Name | REUEL MCINTYRE
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Gender | Male
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 910 E OHIO AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-3438
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Country | US
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Telephone | 833-867-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 8061 ALAMEDA AVE
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City | EL PASO
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State | TX
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Zip | 79915-4705
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Country | US
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Telephone | 915-859-7545
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Fax | 915-859-9862
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 104782
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35884
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License Number State | TX
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