Robert R Reitz, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M-460 Issued in SD

Legal business name

ROBERT R REITZ, DDS PC

Practice address

3508 S Minnesota Ave
Suite 108
Sioux Falls, SD 57105-6461

Phone

(605) 339-0219

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Richard Reitz, DDS

Title

President

Phone

(605) 339-0219

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417075656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 S MINNESOTA AVE",
            "address_2": "SUITE 108",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056461",
            "telephone_number": "605-339-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 S MINNESOTA AVE",
            "address_2": "SUITE 108",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056461",
            "telephone_number": "605-339-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R REITZ, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REITZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-339-0219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M-460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780-2900",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John K Robbins, MD
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• Brittni Marie Roberts
• Hiedi L Roberts, LCSW-PIP
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• Nicole Robideau, LCSW, QMHP
• Robin Rossow LLC

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• 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.