Reynolds Dental Practice
NPI #1649435116 in Forest, Mississippi
Provider Information
- NPI Number
- 1649435116
- Entity Type
- Organization
- Organization Name
- Reynolds Dental Practice
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 24, 2008
- Last Updated
- Oct 6, 2010
Practice Location
- Address
- 208 W THIRD ST
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-4106
- Phone
- (601) 469-4881
Authorized Official
- Name
- DR. RANDALL KERMIT REYNOLDS, D.M.D.
- Title
- DOCTOR/OWNER
- Phone
- (601) 469-4881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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