Provider Demographics
NPI:1174255954
Name:APPLEBY, REID SIMPSON IV (DDS)
Entity type:Individual
Prefix:DR
First Name:REID
Middle Name:SIMPSON
Last Name:APPLEBY
Suffix:IV
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 W GORDON TER APT 2E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2103
Mailing Address - Country:US
Mailing Address - Phone:817-681-3260
Mailing Address - Fax:
Practice Address - Street 1:5255 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2122
Practice Address - Country:US
Practice Address - Phone:312-846-6752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0349951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice