| Glenn A Reaves Dds | |
|
4301 Middle Settlement Rd New Hartford NY 13413 | |
| (315) 736-0139 | |
| (315) 768-6148 |
| Full Name | Glenn A Reaves Dds |
|---|---|
| Speciality | Dentist |
| Location | 4301 Middle Settlement Rd, New Hartford, New York |
| Authorized Official Name and Position | Glenn Ashley Reaves (OWNER - GENERAL DENTIST) |
| Authorized Official Contact | 3157360139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn A Reaves Dds 4301 Middle Settlement Rd New Hartford NY 13413 Ph: (315) 736-0139 | Glenn A Reaves Dds 4301 Middle Settlement Rd New Hartford NY 13413 Ph: (315) 736-0139 |
| NPI Number | 1326047515 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326047515 | NPI | - | NPPES |
| 00551102 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 032955 (New York) | Primary |
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