Dr. Walter W Reid III, DMD
Dentist, General Practice in Fayetteville, GA. Individual provider (NPI-1).
NPI number1720182017
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720182017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Walter W Reid III
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10736 | GA | Yes |
Practice location
570 W Lanier AveBldg #2
Fayetteville, GA 30214-7649
Phone 678-836-2128 · Fax 770-460-7307
Mailing address
5050 Montcalm Dr SwAtlanta, GA 30331-8421
Phone 404-344-1137 · Fax 404-344-7810
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