MEDICARE: DR. KYLE REED 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	5775	AL

General Provider Information

NPI Number	:	1871802678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLE REED DMD

Provider Business Mailing Address
First Line	:	813 CREST CV
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-5004
Country	:	US
Telephone Number	:	601-672-6756
Fax Number	:

Provider Business Practice Location Address
First Line	:	5528 1ST AVE N
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-2445
Country	:	US
Telephone Number	:	205-592-2255
Fax Number	:

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

Provider Enumeration Date	:	09/28/2010
Last Update Date	:	09/28/2010

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Directions to “ DR. KYLE REED DMD” Practice Location

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