Provider Demographics
NPI:1861605313
Name:REEVES, TOMMIE CHERIE (DDS)
Entity type:Individual
Prefix:DR
First Name:TOMMIE
Middle Name:CHERIE
Last Name:REEVES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 W MITCHELL ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2559
Mailing Address - Country:US
Mailing Address - Phone:817-275-2375
Mailing Address - Fax:
Practice Address - Street 1:1009 W MITCHELL ST
Practice Address - Street 2:SUITE C
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-2559
Practice Address - Country:US
Practice Address - Phone:817-275-2375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice