Juliane Simone Reynolds in Tyrone - General Practice
Juliane Simone Reynolds - NPI 1790990091
Juliane Simone Reynolds is a General Practice in Tyrone, Georgia. Juliane Simone Reynolds practices all healthcare services and medical treatments related to General Practice. The NPI Number for Juliane Simone Reynolds is 1790990091. The last update date is 2022-07-21.
Juliane Simone Reynolds's current location address is 1134 Senoia Rd Ste A2, Tyrone, Georgia. You can contact this provider via phone number 7709649992 and fax number 7709649660. The mailing address for Juliane Simone Reynolds is 1134 Senoia Rd Ste A2, Tyrone, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juliane Simone Reynolds |
|---|---|
| Address | 1134 Senoia Rd Ste A2, Tyrone, Georgia |
| Phone Number | 7709649992 |
| Fax Number | 7709649660 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790990091 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1134 Senoia Rd Ste A2 |
|---|---|
| City | Tyrone |
| State | Georgia (GA) |
| Post Code | 302901622 |
| Phone Number | 7709649992 |
| Fax Number | 7709649660 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN013488 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 258308258A | GA | -- |
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What is the unique provider identifier assigned to Juliane Simone Reynolds?
The Juliane Simone Reynolds has been issued the NPI (National Provider Identifier) 1790990091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Juliane Simone Reynolds located?
The Juliane Simone Reynolds is located at 1134 Senoia Rd Ste A2, Tyrone, GA 302901622.
What is Juliane Simone Reynolds's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Juliane Simone Reynolds is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Juliane Simone Reynolds receive its 1790990091 assignment from the Centers for Medicare & Medicaid Services?
The Juliane Simone Reynolds was assigned its 1790990091 by the Centers for Medicare & Medicaid Services on 2007-05-11.
When was the information related to Juliane Simone Reynolds most recently updated or refreshed?
The details pertaining to the Juliane Simone Reynolds, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
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