Aaron Reeves, Reeves Specialty Dental Corporation

Organization Active NPI Pediatric Dentistry · Elk Grove, CA

NPI 1215528112 · NPPES record last updated Feb 2, 2021

Key facts

NPI
1215528112
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
Legal business name
AARON REEVES, REEVES SPECIALTY DENTAL CORPORATION
Practice address
9565 Laguna Springs Dr
Elk Grove, CA 95758-7961
Phone
(916) 689-7837
NPI assigned
Feb 2, 2021
Organization subpart
Yes
Parent organization (as reported)
AARON REEVES, REEVES DENTAL CORPORATION

Authorized official

Name
Derek Boyes
Title
Business Manager
Phone
(530) 263-2454

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Aaron Reeves Reeves Dental Corporation (5 organizations share this tax ID)
Part of
Aaron Reeves Reeves Dental Corporation

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223P0221X Yes

Addresses

Primary practice location

9565 Laguna Springs Dr
Elk Grove, CA 95758-7961

Mailing address

9323 Laguna Springs Dr Ste 100
Elk Grove, CA 95758-7839
Phone (916) 689-7837

Other providers in Elk Grove, CA

All providers in Elk Grove, CA · Pediatric Dentistry in California

Sources for this page

Verify at the official NPI Registry.