Provider Demographics
NPI:1861801912
Name:REYER, WILLIAM I (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:REYER
Suffix:I
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 W 83RD ST
Mailing Address - Street 2:APT. 10F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4909
Mailing Address - Country:US
Mailing Address - Phone:516-551-8120
Mailing Address - Fax:
Practice Address - Street 1:222 W 83RD ST
Practice Address - Street 2:APT. 10F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4909
Practice Address - Country:US
Practice Address - Phone:516-551-8120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246161223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics