MEDICARE: DR. STACEY ELISE REICH DMD

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
1	122300000X	Dentist	DN015416	GA

General Provider Information

NPI Number	:	1174052245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STACEY ELISE REICH DMD

Provider Business Mailing Address
First Line	:	4849 S COBB DR SE STE 111
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-7145
Country	:	US
Telephone Number	:	770-435-5450
Fax Number	:

Provider Business Practice Location Address
First Line	:	4849 S COBB DR SE STE 111
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-7145
Country	:	US
Telephone Number	:	770-435-5450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1104943562 — DR. KRISTIN KARA COONEY D.M.D.
Practice Location Address:

4849 S COBB DR SE
SMYRNA, GA
30080-7145

Practice Phone: 770-435-5450
Practice Fax:

1396064986 — SMYRNA ORAL AND MAXILLOFACIAL SURGERY AND IMPLANTOLOGY CENTER, LLC
Practice Location Address:

4849 S COBB DR SE , UNIT 200
SMYRNA, GA
30080-7145

Practice Phone: 615-207-1932
Practice Fax:

1548662588 — PT SOLUTIONS OF ACWORTH, LLC
Practice Location Address:

4849 S COBB DR SE , SUITE 121
SMYRNA, GA
30080-7145

Practice Phone: 334-396-3273
Practice Fax: 334-396-4905

1922400704 — ZACHARY E WALSTON DPT
Practice Location Address:

4849 S COBB DR SE , SUITE 121
SMYRNA, GA
30080-7145

Practice Phone: 866-464-3878
Practice Fax: 334-396-4905

1710381165 — CARLOS R JOHNSON DPT
Practice Location Address:

4849 S COBB DR SE , SUITE 121
SMYRNA, GA
30080-7145

Practice Phone: 770-438-5220
Practice Fax: 770-438-4367

1366837783 — MRS. ROBIN SUE REICH D.D.S
Practice Location Address:

4849 SOUTH COBB DRIVE SE , STE. 111
SMYRNA, GA
30080-7145

Practice Phone: 770-435-5450
Practice Fax:

Directions to “ DR. STACEY ELISE REICH DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.