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NPI Code Detail

MEDICARE: DR. JEFFREY LEE REINTGEN D.D.S.

MEDICARE:  DR. JEFFREY LEE REINTGEN  D.D.S.
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
11223G0001XGeneral Practice Dentistry6375NC

General Provider Information

NPI Number : 1093888323
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY LEE REINTGEN D.D.S.
Provider Business Mailing Address
First Line : 2111 W MARILYN CIR
Second Line :
City : CARY
State : NC
Zip : 27513-5302
Country : US
Telephone Number : 919-467-8228
Fax Number :
Provider Business Practice Location Address
First Line : 2201 CANDUN DR STE 202
Second Line :
City : APEX
State : NC
Zip : 27523-6413
Country : US
Telephone Number : 919-387-7433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY LEE REINTGEN D.D.S.” Practice Location

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