John E Reese III, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2949 Issued in SC

Practice address

454 S Anderson Rd
Suite 126
Rock Hill, SC 29730-3392

Phone

(803) 324-3101

Fax

(803) 324-3101

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Access Carolina, LLC

  • General Practice Dentistry
  • Rock Hill, SC
  • NPI 1083834972
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659598613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11804",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297311804",
            "telephone_number": "803-324-3101",
            "fax_number": "803-324-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 S ANDERSON RD",
            "address_2": "SUITE 126",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303392",
            "telephone_number": "803-324-3101",
            "fax_number": "803-324-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z29498",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denine Raymond, FNP
• Glenn Allin Raymond, MD
• Re-Bound-It Inc.
• Caroline Reed
• Kimberly Elizabeth Reel, PHARMD
• Harold Reeves
• John Breckenridge Reeves Jr., DMD
• Regal Home Care, LLC
• Destiny Reid, RBT
• Jade Reid, MD

• General Practice Dentistry in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.