Reedy, Robert Lane

Reedy, Robert Lane is an individual health care provider with primary practice located at 100 Wolfe Nursery Rd Ste 180, Stephenville TX 76401-3731. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reedy, Robert Lane can be contacted via phone (254) 965-1931.

Contact Information

Primary practice address
100 Wolfe Nursery Rd Ste 180 Stephenville TX 76401-3731
Phone: (254) 965-1931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14237 Texas

Profile Details

NPI number 1700978079
LBN Legal business name Reedy, Robert Lane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jan 23rd, 2017 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1700978079 NPPES
Texas Other D14237 BLUE CROSS BLUE SHIELD

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