Reilly, Beth

Reilly, Beth is an sole proprietor health care provider with primary practice located at 195 Roosevelt St , Tonawanda NY 14150-3502. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Reilly, Beth can be contacted via phone (716) 693-4271.

Contact Information

Primary practice address
195 Roosevelt St Tonawanda NY 14150-3502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 39207 New York

Profile Details

NPI number 1720161458
LBN Legal business name Reilly, Beth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1720161458 NPPES
New York MEDICAID 01240931

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