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Dr. Kevin Eugene Reilly Jr., DMD

Dentist in Bethesda, MD. Individual provider (NPI-1).

NPI number1104654656
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1104654656
Entity type
Individual (NPI-1)
Name
Dr. Kevin Eugene Reilly Jr.
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 25, 2024
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist30.027558OHYes

Practice location

8901 Rockville Pike
Bethesda, MD 20889-0001

Phone 301-295-4000

Mailing address

2688 Devils Backbone Rd
Cincinnati, OH 45233-4421

Phone 513-543-3360

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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