Lange Rider & Reynolds Psc

NPI #1417024449 in Lexington, Kentucky

Provider Information

NPI Number: 1417024449
Entity Type: Organization
Organization Name: Lange Rider & Reynolds Psc
Primary Specialty: Dentist
Enumeration Date: Nov 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1636 NICHOLASVILLE ROAD
Address 2: SUITE #7
City: Lexington
State: Kentucky
ZIP Code: 40503
Phone: (859) 278-0576

Authorized Official

Name: MR. BILLY D REYNOLDS, DMD
Title: PARTNER
Phone: (859) 278-0576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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