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NPI Code Detail

MEDICARE: KEVIN R REINERS DDS PC

MEDICARE: KEVIN R REINERS DDS PC
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 Dentistry6940NE

General Provider Information

NPI Number : 1144587528
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEVIN R REINERS DDS PC
Provider Business Mailing Address
First Line : 1745 N 86TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-3632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1745 N 86TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-3632
Country : US
Telephone Number : 402-489-8848
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. KEVIN RAY REINERS
Credential :
Telephone Number : 402-489-8848
Provider Enumeration Date : 04/23/2012
Last Update Date : 04/23/2012

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Directions to “KEVIN R REINERS DDS PC ” Practice Location

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