| Brian A Reavley, DDS | |
|
804 Gulf St, Lamar, MO 64759-1239 | |
| (174) 682-3393 | |
| (417) 682-6659 |
| Full Name | Brian A Reavley |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 804 Gulf St, Lamar, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619265964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2011016310 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian A Reavley, DDS 804 Gulf St, Lamar, MO 64759-1239 Ph: (417) 682-3393 | Brian A Reavley, DDS 804 Gulf St, Lamar, MO 64759-1239 Ph: (174) 682-3393 |
Hayden J Bartholomew, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 805 Broadway St, Lamar, MO 64759 Phone: 417-262-6070 Fax: 417-262-6071 | |
Dr. Jeffery Orland Moyer, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 805 Broadway St, Lamar, MO 64759 Phone: 417-682-5871 Fax: 417-682-6791 |