DR. MICHELE ANN REYNOLDS (NPI# 1003953696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003953696 |
Entity Type | Individual |
Full Name | DR. MICHELE ANN REYNOLDS |
Credential | D.D.S.,M.S. |
Practice Address |
6545 France Ave S Suite 665 Southdale Medical Building Edina MN 55435-2131 |
Practice Telephone | 9529278694 |
Mailing Telephone | 9529278694 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
9939 | MN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356640114 | Michele Reynolds | Pharmacist | 2604 Linglestown Rd, Harrisburg, PA 17110-3622 | 2011-03-19 |
1154937365 | Michele L Reynolds | Social Worker | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2020-09-22 |
1801042247 | Michele L Reynolds | Nurse Practitioner | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2008-08-18 |
1619154697 | Michele Marie Reynolds | Dietitian, Registered | 2441 S Highway 27, Somerset, KY 42501-2935 | 2008-01-22 |
1740486190 | Michele Diane Reynolds | Family Medicine | 19270 Highway 12, Sonoma, CA 95476-5414 | 2007-06-22 |
1407073786 | Michele Reynolds | Counselor | 2112 Riverdale St, West Springfield, MA 01089-1024 | 2007-04-19 |
1174578413 | Michele Diane Reynolds | Family Medicine | 7515 Greenville Ave, Suite 801, Dallas, TX 75231-3831 | 2006-05-24 |
1023076916 | Michele Sue Reynolds | Nurse Anesthetist, Certified Registered | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2006-05-02 |
Street Address |
6545 FRANCE AVE S SUITE 665 SOUTHDALE MEDICAL BUILDING |
City | EDINA |
State | MN |
Zip Code | 55435-2131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578569042 | Paul S. Gotlieb | Internal Medicine | 6545 France Ave S, Suite 150, Edina, MN 55435-2131 | 2005-06-21 |
1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
1144879396 | Sarah Pupkes Clark | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2019-09-10 |
1043793144 | Stephanie Lynae Gulbranson | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435-2131 | 2018-09-13 |
1366940850 | Elise Graham | Dietitian, Registered | 6545 France Ave S, Edina, MN 55435-2131 | 2018-01-30 |
1255877031 | Jami Teresa Weiss | Physician Assistant | 6545 France Ave S, 450, Edina, MN 55435-2131 | 2017-01-17 |
1952847741 | Kc Core Mn Pllc | Chiropractor | 6545 France Ave S, Suite 301, Edina, MN 55435-2131 | 2017-01-17 |
1255881967 | Dawn Hostenske Tope | Nurse Practitioner | 6545 France Ave S, Suite 564, Edina, MN 55435-2131 | 2016-10-05 |
1366894180 | Angela Yarbrough | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2016-07-05 |
1467842419 | Steven Pals | Nurse Practitioner | 6545 France Ave S, Suite 450, Edina, MN 55435-2131 | 2015-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679775449 | Stella M. Kitzenberg | Dentist | 3939 W 50th St Ste 201, Edina, MN 55424-1258 | 2007-06-04 |
1033247432 | Mary Elizabeth Johnson | Dentist | 6545 France Ave S, Suite 665, Edina, MN 55435-2131 | 2007-02-28 |
1700975950 | Levi Thomas Kinsey | Dentist | 6545 France Ave S, Suite 665, Edina, MN 55435-2131 | 2006-10-12 |
1710080809 | Endodontic Specialists Pa | Dentist | 6545 France Ave S, Suite #665, Edina, MN 55435-2131 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568071199 | Dental Specialist of Minnesota, Pllc | Dentist | 18258 Minnetonka Blvd Ste 100, Wayzata, MN 55391-3324 | 2020-07-29 |
1215588660 | The Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2019-09-26 |
1780236539 | Modern Care Endodontics of Apple Valley | Dentist | 15160 Foliage Ave Ste 100, Apple Valley, MN 55124-5916 | 2019-07-11 |
1699268052 | Christopher Rex Lai | Dentist | 8-166 Moos Health Sciene Tower, 515 Delaware St. Se, Minneapolis, MN 55455 | 2018-06-11 |
1699272427 | Group Health Plan Inc | Dentist | 5500 Excelsior Blvd, St Louis Park, MN 55416-2935 | 2018-04-09 |
1225533037 | Younghyup Byun | Dentist | 1900 Kruchten Ct S Ste 100, Sartell, MN 56377-4731 | 2018-03-26 |
1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
1174045975 | The Dental Specialists of Minnesota, Pllc | Dentist | 4640 Nicols Rd Ste 202, Eagan, MN 55122-7400 | 2017-07-13 |
1861914061 | The Dental Specialist of Minnesota, Pllc | Dentist | 2550 University Ave W Ste 155s, Saint Paul, MN 55114-1098 | 2017-07-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.