M. Sean Mcreynolds, Dds, LLC

NPI #1801133632 in Humboldt, Kansas

Provider Information

NPI Number: 1801133632
Entity Type: Organization
Organization Name: M. Sean Mcreynolds, Dds, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2013
Last Updated: Jan 14, 2013

Practice Location

Address: 711 BRIDGE ST
City: Humboldt
State: Kansas
ZIP Code: 66748-1707
Phone: (620) 473-2289

Authorized Official

Name: DR. MICHAEL SEAN MCREYNOLDS, DDS
Title: SOLE MEMBER
Phone: (620) 473-2289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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