Dr Corey James Reazor, DDS is a
Student In An Organized Health Care Education/training Program based in Buffalo, New York. Dr Corey James Reazor is licensed to practice in * (Not Available) (license number ) and his current practice location is
462 Grider St, Buffalo, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 898-3189.
NPI number for Dr Corey James Reazor is 1750120515 and his current mailing address is 462 Grider St, Buffalo, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750120515.
Healthcare Provider's Profile
| Full Name | Dr Corey James Reazor |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 462 Grider St, Buffalo, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750120515
- Provider Enumeration Date: 05/22/2024
- Last Update Date: 08/26/2025
Medical Identifiers
Medical identifiers for Dr Corey James Reazor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750120515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 064711 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Corey James Reazor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Corey James Reazor, DDS
462 Grider St,
Buffalo, NY 14215-3021
Ph: (716) 898-3189 | Dr Corey James Reazor, DDS
462 Grider St,
Buffalo, NY 14215-3021
Ph: (716) 898-3189 |
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