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NPI Code Detail

MEDICARE: DR. JEFF REINTGEN, D.D.S. PA

MEDICARE: DR. JEFF REINTGEN, D.D.S. PA
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
1261QD0000XDental Clinic/Center6375NC

General Provider Information

NPI Number : 1396910683
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. JEFF REINTGEN, D.D.S. PA
Provider Business Mailing 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 : 919-387-7005
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 : 919-387-7005
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEFFREY LEE REINTGEN
Credential : D.D.S.
Telephone Number : 919-387-7433
Provider Enumeration Date : 04/28/2008
Last Update Date : 04/28/2008

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