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REYNOLDS DENTAL PRACTICE NPI 1649435116


NPI Information

NPI: 1649435116
Provider Name: REYNOLDS DENTAL PRACTICE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
208 W THIRD ST
FOREST, MS
ZIP 39074
Phone: (601) 469-4881
Get Directions

REYNOLDS DENTAL PRACTICE is a general practice dentist in Forest, MS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. REYNOLDS DENTAL PRACTICE NPI is 1649435116. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 W THIRD ST
FOREST, MS
ZIP 39074-106
Phone: (601) 469-4881
Fax: (601) 469-3436

The provider's authorized official is Randall Kermit Reynolds .
The authorized official title is Doctor/owner and has the following contact phone number (601) 469-4881.

The enumeration date for this NPI number is 7/24/2008 and was last updated on 10/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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