Stevie L Reynolds Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61086 Issued in CA

Legal business name

STEVIE L REYNOLDS DENTAL CORPORATION

Doing business as

United Family Dental Group

Practice address

1125 E 17TH St
N-151
Santa Ana, CA 92701-2201

Phone

(714) 834-9280

Fax

(714) 834-9281

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Stevie Reynolds

Title

Dentist

Phone

(301) 356-8375

Specialties & licenses 1

Addresses

Other names 1

• United Family Dental Group Doing business as

Locations

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1861819542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "N-151",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-834-9280",
            "fax_number": "714-834-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "N-151",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-834-9280",
            "fax_number": "714-834-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVIE L REYNOLDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-356-8375"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carly Stevens
• Haley Rae Stevens, LSW
• Sarah Stevens
• Skylar Stevens
• Vericia Stevenson
• Lauren Stewart
• Maxine Stewart
• Paola Stewart
• Crystal Lorena Stimmell
• Haley Bryanne Stinson

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.