Thomas Jefferson Reynolds in Tacoma - Dentist
Thomas Jefferson Reynolds - NPI 1871567016
Thomas Jefferson Reynolds is a Dentist in Tacoma, Washington. Thomas Jefferson Reynolds practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas Jefferson Reynolds is 1871567016. The last update date is 2015-11-12.
Thomas Jefferson Reynolds's current location address is 1019 Pacific Ave Ste 300, Tacoma, Washington. You can contact this provider via phone number 2535974550 and fax number 2535974556. The mailing address for Thomas Jefferson Reynolds is 1019 Pacific Ave Ste 300, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Jefferson Reynolds |
|---|---|
| Address | 1019 Pacific Ave Ste 300, Tacoma, Washington |
| Phone Number | 2535974550 |
| Fax Number | 2535974556 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1871567016 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2015-11-12 |
Provider Mailing Address Detail
| Address | 1019 Pacific Ave Ste 300 |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984024488 |
| Phone Number | 2535974550 |
| Fax Number | 2535974556 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30022014 |
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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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76805700 | FL | -- | |
| 252130 | OH | -- |
Post Comment/ Review Below
Where is the Thomas Jefferson Reynolds located?
The Thomas Jefferson Reynolds is located at 1019 Pacific Ave Ste 300, Tacoma, WA 984024488.
Could you please provide the complete physical location address of Thomas Jefferson Reynolds?
The Thomas Jefferson Reynolds is physically situated at 1019 Pacific Ave Ste 300, in the city of Tacoma, state of WA, with the postal code 984024488.
What is the area of specialization for Thomas Jefferson Reynolds, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas Jefferson Reynolds is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871567016 to Thomas Jefferson Reynolds?
The Thomas Jefferson Reynolds received its 1871567016 assignment from the Centers for Medicare & Medicaid Services on 2006-02-15.
When was the information pertaining to Thomas Jefferson Reynolds most recently updated or revised?
The details related to Thomas Jefferson Reynolds, including its address, specialty, and other relevant information, were last updated or revised on 2015-11-12.