Reynolds Dental Practice

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REYNOLDS DENTAL PRACTICE

Practice address

208 W Third St
Forest, MS 39074-4106

Phone

(601) 469-4881

Fax

(601) 469-3436

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Randall Kermit Reynolds, D.M.D.

Title

Doctor/Owner

Phone

(601) 469-4881

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Weber Herbison, DMD

  • General Practice Dentistry
  • Forest, MS
  • NPI 1689569964
  NPD (past)
• Kevin M Reynolds, D.M.D

  • General Practice Dentistry
  • Forest, MS
  • NPI 1093937237
  NPD (past)
• Randy K Reynolds, D.M.D

  • General Practice Dentistry
  • Forest, MS
  • NPI 1770702144
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1649435116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W THIRD ST",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744106",
            "telephone_number": "601-469-4881",
            "fax_number": "601-469-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W THIRD ST",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744106",
            "telephone_number": "601-469-4881",
            "fax_number": "601-469-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "KERMIT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "601-469-4881",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quick Quality Care Or Mississippi, Llcdba Checkups
• R. D. Eason OD PA
• Candace Smith Raybon, OT
• Region Ten Commission on Mental Health
• Ethan Reiss
• Kevin M Reynolds, D.M.D
• Randy K Reynolds, D.M.D
• Slater Henry Richardson, DPT
• Van-VI Le Richardson, MD
• Roylaty Healthcare

• General Practice Dentistry in Forest, MS
• Providers in Forest, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.