Stacey Elise Reich, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN015416 Issued in GA

Practice address

4849 S Cobb Dr SE Ste 111
Smyrna, GA 30080-7145

Phone

(770) 435-5450

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stacey Reich Wingad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174052245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 S COBB DR SE STE 111",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807145",
            "telephone_number": "770-435-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 S COBB DR SE STE 111",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807145",
            "telephone_number": "770-435-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Woodstock Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300758222",
            "country_code": "US",
            "telephone_number": "678-434-3373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICH",
        "first_name": "STACEY",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "WINGAD",
            "middle_name": "REICH",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erica Reed
• Glen Reese, LMSW
• Rehab Med Care, Atlanta LLC
• Reich Dental Center
• Robin Sue Reich, D.D.S
• Hannah Elizabeth Reid, FNP
• Jeffrey J Remsen, PTA
• Renal Treatment Centers Mid Atlantic Inc
• Mariela N Resto Rivera, DC
• Restore Balance LLC

• Dentist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.