DR. AUDRA BUCKLEY REYNOSO (NPI# 1235542903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235542903 |
| Entity Type | Individual |
| Full Name | DR. AUDRA BUCKLEY REYNOSO |
| Other Name | AUDRA LEAH BUCKLEY |
| Credential | D.M.D. |
| Practice Address |
100 Amesbury St Suite 110 Lawrence MA 01840-1321 |
| Mailing Address |
809 E 4th St Unit 3 Boston MA 02127-3242 |
| Practice Telephone | 9786863838 |
| Mailing Telephone | 7812585127 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN1856601 | MA | Dental Providers |
| Street Address |
100 AMESBURY ST SUITE 110 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01840-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460483 | Jonathan K Gordon | Surgery | 100 Amesbury St, Suite 113, Lawrence, MA 01840-1321 | 2005-07-13 |
| 1184075038 | Merrimack Valley Orthodontics LLC | Dentist | 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 | 2016-06-22 |
| 1538534953 | James F. Drew Dmd PC | Preferred Provider Organization | 100 Amesbury St, Lawrence, MA 01840-1321 | 2015-12-10 |
| 1619347747 | Federico Jose Perez | Dentist | 100 Amesbury St, #203, Lawrence, MA 01840-1321 | 2015-10-01 |
| 1588032395 | Xingxue Hu | Dentist | 100 Amesbury St, St #203, Lawrence, MA 01840-1321 | 2015-09-10 |
| 1689950420 | Ingrid Pena De Carreno | Dentist | 100 Amesbury St, Lawrence, MA 01840-1321 | 2011-10-25 |
| 1366757064 | Cathleen E. Wallent, Dmd, PC | Dentist | 100 Amesbury St, Suite 202, Lawrence, MA 01840-1321 | 2010-08-18 |
| 1255663043 | Sandra Ameri | Dentist | 100 Amesbury St, Suite 203, Lawrence, MA 01840-1321 | 2010-02-04 |
| 1922265339 | Maritza Morell Dmd PC | Dentist | 100 Amesbury St, Suite 111, Lawrence, MA 01840-1321 | 2008-05-22 |
| 1063600120 | Nguyet M Tau | Dentist | 100 Amesbury St, Suite 203, Lawrence, MA 01840-1321 | 2007-10-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293569 | Cure-aid Pharmacy Inc | Pharmacy | Cure-aid Pharmacy, 203 Essex Street, Lawrence, MA 01840 | 2020-01-06 |
| 1053819482 | Allied Pharmacy Inc. | Pharmacy | 10-12 Hampshire Street, Lawrence, MA 01840 | 2018-01-31 |
| 1720598626 | Natalie Perez | Counselor | 15 South Union St, 200, Lawrence, MA 01840 | 2017-10-05 |
| 1932636271 | Iluminada De La Cruz | Counselor | 2 Museum Square Apt 412, Lawrence, MA 01840 | 2017-05-17 |
| 1831642867 | Karina Tremiti | Counselor | 599 Canal St, 5th Fl, Lawrence, MA 01840 | 2016-07-26 |
| 1467733717 | Suzanne Beth Macphail | Counselor | 11 Union Street, Lawrence, MA 01840 | 2011-08-31 |
| 1831416767 | Db Practice Management, Inc | Dentist | 488 Essex St, Lawrence, MA 01840 | 2010-05-03 |
| 1033341169 | Michele Davis | Counselor | 15 Union Street, Second Floor, Lawrence, MA 01840 | 2009-08-24 |
| 1447401856 | Erin Grace Mooney | Social Worker | 439 South Union Street, Suite 207a, Lawrence, MA 01840 | 2008-10-03 |
| 1215127840 | Marcia Elaine Nelson-vancini | Nurse Practitioner | Lahey Health Behavioral Services, Inc., 12 Methuen Street, Lawrence, MA 01840 | 2007-07-30 |
| Find all providers in zip 01840 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649543554 | The Braces Place | Dentist | 335 Common St, Lawrence, MA 01840-1262 | 2012-02-23 |
| 1538360342 | Maurice George Theberge | Dentist | 50 Prospect Street, Suite 402, Lawrence, MA 01841 | 2007-05-30 |
| 1427268036 | Don Gordy Dds Pa | Dentist | 721 Wakarusa Drive, Ste 102, Lawrence, KS 66049-4797 | 2007-05-23 |
| 1336252139 | N. Daniel Ranjbar | Dentist | 4828 Quail Crest Pl, Lawrence, KS 66049-3838 | 2006-08-16 |
| 1073593992 | Shelly L. Mccolm | Dentist | 12 W 8th St, Lawrence, KS 66044-2602 | 2006-01-18 |
| 1760025480 | Shira Bernstein | Dentist | 122 Harrison St, Lawrence, NY 11559-1932 | 2019-10-25 |
| 1184075038 | Merrimack Valley Orthodontics LLC | Dentist | 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 | 2016-06-22 |
| 1407221377 | Ana Serrenho | Dentist | 355 Essex St, Lawrence, MA 01840-1410 | 2015-12-03 |
| 1578939351 | Jie Liu | Dentist | 234 Essex St, Lawrence, MA 01840-1549 | 2015-08-17 |
| 1922303668 | Lawrence Braces, P.C. | Dentist | 355 Essex St, Lawrence, MA 01840-1410 | 2011-01-11 |
| Find all providers in LAWRENCE | ||||
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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.