Robert Kevin Reilly, DDS

Dentist · Manawa, WI

Individual Active NPI

NPI number 1669589602

Practice location

401 Second Street
Manawa, WI 54949
Phone
(920) 596-3133
Fax
(920) 596-3133

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NPI record

NPI
1669589602
Entity type
Individual (Type 1)
Enumeration date
August 24, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2765 WI

Mailing address

PO Box 956
Manawa, WI 54949
Phone
(920) 596-3133
Fax
(920) 596-3133

About Dr. Reilly

Robert Kevin Reilly, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 401 Second Street, Manawa, WI 54949. The NPI number 1669589602 was assigned on August 24, 2006 and the record was last updated on July 8, 2007.

Dr. Reilly lists a license in the registry: #2765 (WI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Kevin Reilly, DDS?

The NPI number is 1669589602.

What is the phone number of Dr. Reilly?

The phone number listed for the practice location is (920) 596-3133.

Where is Dr. Reilly located?

401 Second Street, Manawa, WI 54949.

What is the taxonomy code for Dr. Reilly?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.