Dr. Daniel Lee Reaves
Oral and Maxillofacial Surgeon
1030 Jefferson Ave Dental Service (160)
Memphis
, Tennessee 38104-2127
Dr. Daniel Lee Reaves
Oral and Maxillofacial Surgeon
1030 Jefferson Ave Dental Service (160)
Memphis
, Tennessee 38104-2127
(901) 821-9861
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Daniel Lee Reaves
- 5575 Bayberry Cv
- Memphis, TN
- Zip : 38120-2443
- Phone : (901) 821-9861
Second Address
- Dr. Daniel Lee Reaves
- 1030 Jefferson Ave Dental Service (160)
- Memphis, TN
- Zip : 38104-2127
- Fax : (901) 577-7307
- Phone : (901) 523-8990
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 1613-74 | MS |
National Provider Identifier
| NPI | 1013931724 |
|---|---|
| Provider Name | Dr. Daniel Lee Reaves |
| First Address | Memphis, TN 38120-2443 |
| Second Address | Memphis, TN 38104-2127 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.