| Doctor Name: | MELISSA ELAINE REESE |
| NPI Number: | 1437487576 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDH |
| License Number: | S-1024732 |
| Business Practice Address: | 5085 South Fallsburg Main Street South Fallsburg, NY - 12779 |
| Business Phone Number: | 8454348444 |
| Business Fax Number: | 8454348440 |
| Mailing Address: | Po Box 2022, SOUTH FALLSBURG |
| State: | NY |
| Postal Code: | 12779 |
| Phone Number: | 8454348444 |
| Fax Number: | 8454348440 |
| NPI Enumeration Date: | 12/01/2009 |
| NPI Last Update Date: | 12/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | S-1024732 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |