Jack K. Reynolds Dds Pa in Edgewood - Oral & Maxillofacial Surgery
Jack K. Reynolds Dds Pa - NPI 1841455615
Jack K. Reynolds Dds Pa is a Oral & Maxillofacial Surgery in Edgewood, Maryland. Jack K. Reynolds Dds Pa practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Jack K. Reynolds Dds Pa is 1841455615. The last update date is 2008-07-22.
Jack K. Reynolds Dds Pa's current location address is Po Box 696, Edgewood, Maryland. You can contact this provider via phone number 4106765252 and fax number 4106794068. The mailing address for Jack K. Reynolds Dds Pa is Po Box 696, Edgewood, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack K. Reynolds Dds Pa |
|---|---|
| Address | Po Box 696, Edgewood, Maryland |
| Phone Number | 4106765252 |
| Fax Number | 4106794068 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | D.D.S |
|---|---|
| Authorized Official Name | Reynolds Lundgren Elaine Sharon |
| Telephone Number | 4106765252 |
NPI Number Detail
| NPI Number | 1841455615 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | Po Box 696 |
|---|---|
| City | Edgewood |
| State | Maryland (MD) |
| Post Code | 210400696 |
| Phone Number | 4106765252 |
| Fax Number | 4106794068 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
|
Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 817292 | MD | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identifier code issued to Jack K. Reynolds Dds Pa by the Centers for Medicare & Medicaid Services?
The Jack K. Reynolds Dds Pa has been assigned the NPI (National Provider Identifier) 1841455615. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jack K. Reynolds Dds Pa is physically located?
The Jack K. Reynolds Dds Pa is physically situated at the following address: Po Box 696, Edgewood, MD, 210400696.
What is the area of specialization for Jack K. Reynolds Dds Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack K. Reynolds Dds Pa is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 204E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841455615 to Jack K. Reynolds Dds Pa?
The Jack K. Reynolds Dds Pa received its 1841455615 assignment from the Centers for Medicare & Medicaid Services on 2008-07-22.
As of what date were the details pertaining to Jack K. Reynolds Dds Pa last refreshed?
The information related to the Jack K. Reynolds Dds Pa, including its address, specialty, and other relevant details, was last updated on 2008-07-22.
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