Provider Demographics
NPI:1730469933
Name:REINECKER, CHRISTIAN MATTHEW (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:MATTHEW
Last Name:REINECKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 PERKIOMEN AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9521
Mailing Address - Country:US
Mailing Address - Phone:610-370-2338
Mailing Address - Fax:610-370-3026
Practice Address - Street 1:4730 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-9521
Practice Address - Country:US
Practice Address - Phone:610-370-2338
Practice Address - Fax:610-370-3026
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0386721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice