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Contact Information

BRENTON A REAVLEY, DDS
4151 N MULBERRY DR
SUITE 230
KANSAS CITY, MO64116-4447
 Phone: 816-326-8204
 Fax: 816-326-8431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRENTON A REAVLEY · (Male)

NPI # 1780810853
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/03/2009
Last updated 07/20/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2007014548
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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