Active NPI
William Roger Reynolds, D.D.S.
- General Practice Dentistry
- Sellersburg, IN
National Provider Identifier
1235105974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7728
- Practice address
- 809 S Indiana Ave
Sellersburg, IN 47172-1613 - Phone
- (812) 246-3368
- Fax
- (812) 246-0589
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7728 | IN | Primary |
Addresses
Primary practice location
809 S Indiana Ave
Sellersburg, IN 47172-1613
Mailing address
809 S Indiana Ave
Sellersburg, IN 47172-1613
Phone (812) 246-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7728 | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Family Dentistry II, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Reynolds Family Dentistry
- General Practice Dentistry
- Sellersburg, IN
- NPI 1235673468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1235105974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 S INDIANA AVE",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "471721613",
"telephone_number": "812-246-3368",
"fax_number": "812-246-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 S INDIANA AVE",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "471721613",
"telephone_number": "812-246-3368",
"fax_number": "812-246-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "WILLIAM",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "7728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sellersburg, IN
- Pulaski Memorial Hospital (Maple Manor Christian Home)
- Sherry Geil Saclayan Que
- Reflections Medispa, LLC (Reflections For Veterans Company)
- Reynolds Family Dentistry II, LLC (Reynolds Family Dentistry)
- Jonathan Schafer Reynolds, DMD
- Ripple Health LLC (Wound Access)
- River City Geriatrics
- Rock Creek Community Academy
- Rocky Mountain Holdings, LLC.
- Jessica Rodriguez, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.