Reeves, John Breckenridge

Reeves, John Breckenridge is an individual health care provider with primary practice located at 1805 Celanese Rd , Rock Hill SC 29732. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reeves, John Breckenridge can be contacted via phone (803) 366-4186.

Contact Information

Primary practice address
1805 Celanese Rd Rock Hill SC 29732
Fax: (803) 366-4187
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2291 South Carolina

Profile Details

NPI number 1194748442
LBN Legal business name Reeves, John Breckenridge
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 9th, 2007 - about 18 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 1194748442 NPPES
South Carolina MEDICAID 2291

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