Ozark Preferred Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

015036 Issued in MO

Legal business name

OZARK PREFERRED DENTAL GROUP

Practice address

3211 E Battlefield St
Suite 100
Springfield, MO 65804-4050

Phone

(417) 881-3220

Fax

(417) 881-6473

NPI assigned

Mar 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert Keith Reynolds, DDS

Title

Owner

Phone

(417) 881-3220

Specialties & licenses 2

Addresses

Other names 1

• Robert Reynolds, D.D.S. Other name

Locations

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1467750745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 E BATTLEFIELD ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044050",
            "telephone_number": "417-881-3220",
            "fax_number": "417-881-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 E BATTLEFIELD ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044050",
            "telephone_number": "417-881-3220",
            "fax_number": "417-881-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK PREFERRED DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-881-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "015036",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Reynolds, D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ozark Family Medical Walk-in Clinics, Inc
• Ozark Health Ventures, LLC (Ozark Neuro Rehab Center)
• Ozark Health Ventures, LLC (Ozark Neuro Rehab Center)
• Ozark Medical Surgical Associates LTD
• Ozark Neonatal Associates, Inc. (Pediatrix Medical Group of Springfield)
• Ozark Psychological Associates, L.L.C.
• Ozark Retina & Macula
• Ozark Therapy Institute, LLC
• Ozarks Area Community Action Corporation (OACAC Family Planning)
• Ozarks Area Community Action Corporation Head Start

• Dentist in Springfield, MO
• Providers in Springfield, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.