Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daryl K Reavis, DMD

Individual provider Dentist · NPI 1518342179

Daryl K Reavis, DMD is a Dentist in Coos Bay, Oregon. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1245 Fulton Ave
Coos Bay, OR 97420-2895
Phone: (541) 888-6433
Fax: (541) 888-7505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D01503 (AZ)

Record details

NPI number1518342179
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 24, 2015
Mailing address1245 Fulton Ave, Coos Bay, OR 97420-2895

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