1922533348 NPI number — DR. ANDREW MILLER REED DMD

Table of content: DR. ANDREW MILLER REED DMD (NPI 1922533348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922533348 NPI number — DR. ANDREW MILLER REED DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REED
Provider First Name:
ANDREW
Provider Middle Name:
MILLER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GSCHWENG
Provider Other First Name:
ANDREW
Provider Other Middle Name:
MILLER
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1922533348
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 E RIDGE DR APT 110
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03055-5112
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-554-2850
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATKINSON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03811-2514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-362-8410
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/23/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223G0001X , with the licence number: 04375 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)