Individual provider · Type 1 NPI

Corey James Reazor, DDS

Student in an Organized Health Care Education/Training Program · Buffalo, NY

NPI number 1750120515 Active

Practice location

462 Grider St
Buffalo, NY 14215-3021

Call (716) 898-3189 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X064711 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750120515

Corey James Reazor, DDS's National Provider Identifier is 1750120515, issued on May 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on Aug 26, 2025.