Provider Demographics
NPI:1730346685
Name:REID, JANET M (D D S)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:M
Last Name:REID
Suffix:
Gender:F
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 S PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-5437
Mailing Address - Country:US
Mailing Address - Phone:405-321-4060
Mailing Address - Fax:405-321-6127
Practice Address - Street 1:509 S PORTER AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5437
Practice Address - Country:US
Practice Address - Phone:405-321-4060
Practice Address - Fax:405-321-6127
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK49841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice