Reesor Dental Group, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

REESOR DENTAL GROUP, PC

Practice address

11968 Bernardo Plaza Dr
San Diego, CA 92128-2538

Phone

(858) 521-0000

NPI assigned

Jun 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Reesor, DDS

Title

Owner

Phone

(661) 477-5168

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1003301169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11968 BERNARDO PLAZA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11968 BERNARDO PLAZA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282538",
            "telephone_number": "858-521-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESOR DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "REESOR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-477-5168",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Danielle Reese, MSW
• George K Reese, D.C.
• Joan Menden Reese, M.D.
• Juliette Reese
• McKay Davis Reese, MD
• Barry G. Reeve, MD
• Kimberly Reeve
• Tywila Reeves Bivens
• Andrea Reeves, P.T.
• Ashley Reeves

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.