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Contact Information

AMY L REIS, DDS
1155 CANTERBURY ST
CRESCO, IA52136
 Phone: 563-547-1704
 Fax: 563-547-1111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AMY L REIS · (Female)

NPI Number 1700025053
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/10/2009
Last updated 05/28/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 08604
  • WI License # 6148-015
  • WI Medicaid 33813700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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