National Provider Identifier
Corey James Reazor, DDS
Corey James Reazor, DDS is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-3189.
Profile Overview
- NPI
- 1750120515
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 22, 2024
- Last Updated
- August 26, 2025
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-3189
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1750120515
- Entity Type
- Individual
- Last Name
- Reazor
- First Name
- Corey
- Middle Name
- James
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-3189
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3189
- Enumeration Date
- May 22, 2024
- Last Updated
- August 26, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 26, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), General Practice Dentistry (1223G0001X)