Mark M. Reynolds D.D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2651 Issued in ME

Legal business name

MARK M. REYNOLDS D.D.S.

Practice address

295 State St
Augusta, ME 04330-7036

Phone

(207) 622-9210

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Morrison Reynolds, D.D.S.

Title

Owner

Phone

(207) 622-9210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Woojung Sul, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Coppell, TX
  • NPI 1700309291
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1447469366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307036",
            "telephone_number": "207-622-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307036",
            "telephone_number": "207-622-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK M. REYNOLDS D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MORRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-622-9210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "2651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanice Tyana Makerson
• Sharan Audrey Malinowski, RDH
• Anthony R Mancini, MD
• Marilyn Kathryn Mandich, RRT
• Sharyn Hale Mann, SLP
• Dana Jo Marshall, CRNA
• Ericka Karen Marshall, FNP-BC
• Richard Marshall, N.P.
• Olivia Jean Marson, PMH-NP
• Benjamin Martin, DMD

• Dental Clinic/Center in Augusta, ME
• Providers in Augusta, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.