Reznicek Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014865 Issued in MO

Legal business name

REZNICEK DENTAL GROUP LLC

Practice address

1400 State Route F
Waynesville, MO 65583-2831

Phone

(573) 774-6101

Fax

(573) 774-6812

NPI assigned

Jul 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul D. Reznicek, DDSNPI 1326325192

Title

Dentist

Phone

(573) 774-6101

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Duane Reznicek, DDS

  • Dentist
  • Waynesville, MO
  • NPI 1326325192
  NPD (past) Authorized official
• Thomas William Tylka, DMD

  • General Practice Dentistry
  • Waynesville, MO
  • NPI 1659357432
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063447860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 STATE ROUTE F",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832831",
            "telephone_number": "573-774-6101",
            "fax_number": "573-774-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 STATE ROUTE F",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832831",
            "telephone_number": "573-774-6101",
            "fax_number": "573-774-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZNICEK DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REZNICEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "573-774-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maegan Ramsey
• Ashley Rapier
• Tonya R Rawlings, PLPC
• Addison James Reiser, LMT
• Joseph William Reynolds IV, LMSW
• Paul Duane Reznicek, DDS
• Christina Richards
• Richland Medical Center, Inc.
• Roots of Healing Counseling LLC
• RPCS, Inc

• General Practice Dentistry in Waynesville, MO
• Providers in Waynesville, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.