Fred Dee Rea, D.D.S.

Periodontics · Longview, TX

Individual Active NPI

NPI number 1790875847

Practice location

806 Medical Circle Drive
Suite 300
Longview, TX 75605-5110
Phone
(903) 236-7023
Fax
(903) 236-7723

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NPI record

NPI
1790875847
Entity type
Individual (Type 1)
Enumeration date
October 12, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 12317 TX

About Dr. Rea

Fred Dee Rea, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 806 Medical Circle Drive, Suite 300, Longview, TX 75605-5110. The NPI number 1790875847 was assigned on October 12, 2006 and the record was last updated on July 8, 2007.

Dr. Rea lists a license in the registry: #12317 (TX) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Fred Dee Rea, D.D.S.?

The NPI number is 1790875847.

What is the phone number of Dr. Rea?

The phone number listed for the practice location is (903) 236-7023.

Where is Dr. Rea located?

806 Medical Circle Drive, Suite 300, Longview, TX 75605-5110.

What is the taxonomy code for Dr. Rea?

The primary taxonomy code is 1223P0300X – Periodontics.

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.

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