Reynolds Family Dentistry II, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011204 Issued in IN

Legal business name

REYNOLDS FAMILY DENTISTRY II, LLC

Doing business as

Reynolds Family Dentistry

Practice address

809 S Indiana Ave
Sellersburg, IN 47172-1613

Phone

(812) 246-3368

Fax

(812) 246-0589

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Schafer Reynolds, D.M.D.NPI 1447415666

Title

Owner/Dentist

Phone

(812) 246-3368

Specialties & licenses 1

Addresses

Other names 1

• Reynolds Family Dentistry Doing business as

Locations

Practitioners 2

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

• Jonathan Schafer Reynolds, DMD

  • Dentist
  • Sellersburg, IN
  • NPI 1447415666
  NPD (past) Authorized official
• William Roger Reynolds, D.D.S.

  • General Practice Dentistry
  • Sellersburg, IN
  • NPI 1235105974
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1235673468",
    "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": {
        "organization_name": "REYNOLDS FAMILY DENTISTRY II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SCHAFER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "812-246-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reynolds Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lenore Elizabeth Phipps-Stevens, OTR/L, CLT
• Russell Porras, PT
• Pulaski Memorial Hospital (Maple Manor Christian Home)
• Sherry Geil Saclayan Que
• Reflections Medispa, LLC (Reflections For Veterans Company)
• Jonathan Schafer Reynolds, DMD
• William Roger Reynolds, D.D.S.
• Ripple Health LLC (Wound Access)
• River City Geriatrics
• Rock Creek Community Academy

• General Practice Dentistry in Sellersburg, IN
• Providers in Sellersburg, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.