| Organization Name: | REED D. DILL, D.D.S. P.A. |
| NPI Number: | 1396971412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REED DOUGLAS DILL (PRESIDENT/OWNER) |
| Mailing Address: | 171 Lake St N Big Lake |
| State: | MN US |
| Postal Code: | 553099254 |
| Phone Number: | 7632633262 |
| Fax Number: | 7632637998 |
| NPI Enumeration Date: | 06/03/2009 |
| NPI Last Update Date: | 06/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | D10598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |