Reagor, Anissa Lynn

Reagor, Anissa Lynn is an individual health care provider with primary practice located at 1210 Douglass Rd , Nacogdoches TX 75964-4904. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Reagor, Anissa Lynn can be contacted via phone (936) 560-1122.

Contact Information

Primary practice address
1210 Douglass Rd Nacogdoches TX 75964-4904
Phone: (936) 560-1122
Fax: (936) 560-1631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19573 Texas
Dental Providers / Dentist 122300000X 19573 Texas

Profile Details

NPI number 1073629788
LBN Legal business name Reagor, Anissa Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jun 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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