MEDICARE: THOMAS C REINHART 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	122300000X	Dentist	DN8757	FL

General Provider Information

NPI Number	:	1699731398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS C REINHART DDS

Provider Business Mailing Address
First Line	:	4450 E FLETCHER AVE
Second Line	:	SUITE B
City	:	TAMPA
State	:	FL
Zip	:	33613-4937
Country	:	US
Telephone Number	:	813-972-5560
Fax Number	:	813-972-5665

Provider Business Practice Location Address
First Line	:	4450 E FLETCHER AVE
Second Line	:	SUITE B
City	:	TAMPA
State	:	FL
Zip	:	33613-4937
Country	:	US
Telephone Number	:	813-972-5560
Fax Number	:	813-972-5665

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	12/14/2016

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