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General NPI Number Information
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NPI Number | 1629950613
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Entity Type | Organization
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Legal Business Name | REEVES COSMETIC DENTISTRY, PC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 8040 HUGH DANIEL DR
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City | HOOVER
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State | AL
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Zip | 35242-7102
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Country | US
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Telephone | 205-991-9997
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Fax | 205-991-9925
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Provider Business Mailing Address
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Address Line | 9012 EAGLE VALLEY LN
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6992
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Country | US
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Telephone | 205-999-1938
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Fax | 205-991-9925
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. JUSTIN TODD REEVES
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Credential | DMD
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Telephone | 205-991-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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