MEDICARE: DR. DENNIS EATON REED DDS

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	1223E0200X	Endodontics	D5335	OR

General Provider Information

NPI Number	:	1326032715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS EATON REED DDS

Provider Business Mailing Address
First Line	:	9876 SW PEPPERTREE LN
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97224-4787
Country	:	US
Telephone Number	:	503-620-1647
Fax Number	:

Provider Business Practice Location Address
First Line	:	19731 HIGHWAY 213
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-4190
Country	:	US
Telephone Number	:	503-656-7888
Fax Number	:

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	07/08/2007

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