Kevin I Reid, D.M.D.
Dentist, Oral and Maxillofacial Surgery in Rochester, MN. Individual provider (NPI-1).
NPI number1790763290
StatusActive
Last updated in NPPESMay 5, 2023
Details
- NPI
- 1790763290
- Entity type
- Individual (NPI-1)
- Name
- Kevin I Reid
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2006
- Certification date
- May 5, 2023
- Last updated
- May 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | D10321 | MN | Yes |
| 122300000X | Dentist | 10321 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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