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NPI Code Detail

MEDICARE: DR. ALLISON ANTOINETTE REEVES DMD

MEDICARE:  DR. ALLISON ANTOINETTE REEVES  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
1122300000XDentist3346SC

General Provider Information

NPI Number : 1386777159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON ANTOINETTE REEVES DMD
Provider Business Mailing Address
First Line : PO BOX 3789
Second Line : 516 WEST LIBERTY STREET
City : SUMTER
State : SC
Zip : 29150-4819
Country : US
Telephone Number : 803-773-9300
Fax Number : 803-773-3556
Provider Business Practice Location Address
First Line : 516 WEST LIBERTY STREET
Second Line :
City : SUMTER
State : SC
Zip : 29150-4819
Country : US
Telephone Number : 803-773-9300
Fax Number : 803-773-3556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ALLISON ANTOINETTE REEVES DMD” Practice Location

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