Fred Dee Rea, D.D.S.
Dentist, Periodontics in Longview, TX. Individual provider (NPI-1).
NPI number1790875847
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790875847
- Entity type
- Individual (NPI-1)
- Name
- Fred Dee Rea
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 12317 | TX | Yes |
Practice location
806 Medical Circle DriveSuite 300
Longview, TX 75605-5110
Phone 903-236-7023 · Fax 903-236-7723
Mailing address
806 Medical Circle DriveSuite 300
Longview, TX 75605-5110
Phone 903-236-7023 · Fax 903-236-7723
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Other Periodontics providers in Longview, TX
- Erick Evandro Di MatteoNPI 1295239713
- Michel Victor Furtado Araujo, DDS, MSC, MDSNPI 1225341522
- Pinnacle Implants And PeriodonticsNPI 1417802810
- Tom M Smith, DDS, INCNPI 1780844977
All 5 Periodontics providers in Longview · All 2,907 providers in Longview
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