Reiter Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10457 Issued in MN

Legal business name

REITER DENTAL PA

Practice address

717 South State Street
Suite 500
Fairmont, MN 56031-4474

Phone

(507) 235-6254

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edward Reiter, DMDNPI 1760888028

Title

Vice President

Phone

(507) 235-6254

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Edward Reiter

  • Dentist
  • Fairmont, MN
  • NPI 1760888028
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295809903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SOUTH STATE STREET",
            "address_2": "SUITE 500",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314474",
            "telephone_number": "507-235-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SOUTH STATE STREET",
            "address_2": "SUITE 500",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314474",
            "telephone_number": "507-235-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REITER DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "507-235-6254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Management Services, LLC
• Primary Specialists
• Revadean J Quastad, MSN, NP-C, APNP
• Recovery in Motion, LLC
• Lynn Helm Reeve Sr., DDS
• Mark Edward Reiter
• Rem Heartland Inc
• Rem Heartland Inc
• Rem Heartland, Inc.
• Rem Heartland, Inc.

• General Practice Dentistry in Fairmont, MN
• Providers in Fairmont, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.