Individual provider · Type 1 NPI
Fred Dee Rea, DDS
Periodontics · Longview, TX
NPI number
1790875847
Active
Practice location
806 Medical Circle Drive, Suite 300
Longview, TX 75605-5110
Fax (903) 236-7723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 12317 (TX) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Longview
About NPI 1790875847
Fred Dee Rea, DDS's National Provider Identifier is 1790875847, issued on Oct 12, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Longview, TX. The record was last updated on Jul 8, 2007.