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DARYL K REAVIS DMD
NPI 1518342179
Dentist in Coos Bay, OR

Active since July 24, 2015
1245 FULTON AVE, COOS BAY, OR 97420(541) 888-6433(541) 888-7505 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daryl K Reavis Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARYL K REAVIS DMD (NPI 1518342179) is an individual dentist in Coos Bay, Oregon, licensed in Arizona (D01503) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1518342179
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDARYL K REAVISCredential: DMD
Location Address1245 FULTON AVECoos Bay, OR 97420-2895
Mailing Address1245 Fulton AveCoos Bay, OR 97420-2895 · (541) 888-6433 · Fax (541) 888-7505
Phone(541) 888-6433
Fax(541) 888-7505
Sole ProprietorYes
Enumeration DateJuly 24, 2015
✔ NPI 1518342179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D01503
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1245 FULTON AVE, Coos Bay, OR 97420
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAOMI RACHELLE PETRIE
Technician, Other
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
PATRICIA ANNE PEYTON RDH
Dental Hygienist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
MARISSA GARDNER
Technician, Other
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS
Clinic/Center (Dental)
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
SARAH ANN RODGERS
Dentist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
MARY E. WILLIARD DDS
Dentist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
LESLIE HOLLINGSWORTH
Dental Hygienist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daryl Reavis's NPI number?

The NPI number for Daryl Reavis is 1518342179. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Where is Daryl Reavis located?

Daryl Reavis practices at 1245 Fulton Ave, Coos Bay, OR 97420. The listed phone number is (541) 888-6433.

What is Daryl Reavis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Daryl Reavis was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.