Michael Liam Reynolds, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL LIAM REYNOLDS, DDS, LLC

Doing business as

Reynolds Family Dentistry

Practice address

984 NE 8TH Street
Grants Pass Oregon
Grants Pass, OR 97526

Phone

(541) 471-7062

NPI assigned

Jul 12, 2019

Last updated

Jul 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Heidi Helen Hill, MHA

Title

Consultant

Phone

(503) 702-1370

Specialties & licenses 1

Addresses

Other names 1

• Reynolds Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1841842598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 IOWA ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202224",
            "telephone_number": "415-672-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 NE 8TH STREET",
            "address_2": "GRANTS PASS OREGON",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-471-7062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2954 Siskiyou Blvd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048161",
            "country_code": "US",
            "telephone_number": "503-702-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL LIAM REYNOLDS, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "503-702-1370",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reynolds Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Mae Metcalf, LPC
• Lindsey Mettler, BSN, RN
• Laura Mae Meure I, LMT
• Pamela Alice Meyer, M.S, QMHA
• Micah Fay Body Treatments Inc
• Greer Elizabeth Michael, MHA
• Rachael R Michael, QMHA
• Lisa Michaelis, QMHA
• Michelle Dague LCSW Professional Corporation
• Carter Michelle

• General Practice Dentistry in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.