Reynolds & Reynolds, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6695 Issued in WA

Legal business name

REYNOLDS & REYNOLDS, DDS, PLLC

Doing business as

Wenatchee Valley Dental Village

Practice address

210 Valley Mall Pkwy
East Wenatchee, WA 98802-7728

Phone

(509) 886-2500

Fax

(509) 886-3600

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas L. Reynolds, DDS

Title

Owner/Member

Phone

(509) 886-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wenatchee Valley Dental Village Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald L. Wellbaum, DDS

  • General Practice Dentistry
  • East Wenatchee, WA
  • NPI 1558466284
  NPD (past)
• Timothy L. Reynolds, DDS

  • General Practice Dentistry
  • Vero Beach, FL
  • NPI 1154426823
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205941937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 VALLEY MALL PKWY",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988027728",
            "telephone_number": "509-886-2500",
            "fax_number": "509-886-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 VALLEY MALL PKWY",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988027728",
            "telephone_number": "509-886-2500",
            "fax_number": "509-886-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS & REYNOLDS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "509-886-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5034798",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wenatchee Valley Dental Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacey Rene Purcell, L.M.P.
• Dale A Rader, R.PH.
• Alondra Ramirez, RDH
• Redimedi Clinic & House Call, PLLC
• Redimedi Healthcare, LLC
• Marcia Reynolds
• Russ K Reynolds, RT
• Kevin Alan Risdon, CCC SLP
• Charles Riseley, LMHC
• Alan Rivas Parra, DPT

• General Practice Dentistry in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• General Practice Dentistry in Washington

• 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.