Milton Bradford Reynolds in Petal - General Practice

Milton Bradford Reynolds - NPI 1811169998

Milton Bradford Reynolds is a General Practice in Petal, Mississippi. Milton Bradford Reynolds practices all healthcare services and medical treatments related to General Practice. The NPI Number for Milton Bradford Reynolds is 1811169998. The last update date is 2008-03-28.

Milton Bradford Reynolds's current location address is 1336 Highway 42 East, Petal, Mississippi. You can contact this provider via phone number 6014503371 and fax number 6014503373. The mailing address for Milton Bradford Reynolds is 1336 Highway 42 East, Petal, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Milton Bradford Reynolds
Address 1336 Highway 42 East, Petal, Mississippi
Phone Number 6014503371
Fax Number 6014503373
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1811169998
Provider Enumeration Date 2008-03-28
Last Updated Date 2008-03-28

Provider Mailing Address Detail

Address 1336 Highway 42 East
City Petal
State Mississippi (MS)
Post Code 394659415
Phone Number 6014503371
Fax Number 6014503373

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2784-94
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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FAQs about Milton Bradford Reynolds

What is the unique provider identifier assigned to Milton Bradford Reynolds?

The Milton Bradford Reynolds has been issued the NPI (National Provider Identifier) 1811169998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Milton Bradford Reynolds is physically located?

The Milton Bradford Reynolds is physically situated at the following address: 1336 Highway 42 East, Petal, MS, 394659415.

What is the Milton Bradford Reynolds's area of specialization and corresponding taxonomy classification?

The Milton Bradford Reynolds's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When did Milton Bradford Reynolds receive its 1811169998 assignment?

The Milton Bradford Reynolds was assigned its 1811169998 on 2008-03-28, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Milton Bradford Reynolds most recently updated or revised?

The details related to Milton Bradford Reynolds, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-28.

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