MARK MORRISON REYNOLDS (NPI# 1285771113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285771113 |
| Entity Type | Individual |
| Full Name | MARK MORRISON REYNOLDS |
| Credential | D.D.S. |
| Practice Address |
295 State St Augusta ME 04330-7036 |
| Practice Telephone | 2076229210 |
| Mailing Telephone | 2076229210 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2651 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | BLUE CROSS BLUE SHIELD | 025981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1598896946 | Mark William Reynolds | Dentist | 1304 Beaman Pl, Greensboro, NC 27408-8704 | 2007-03-08 |
| 1770629040 | Mark A Reynolds | Hearing Instrument Specialist | 102 College Station Dr, Ste 9, Brevard, NC 28712-3194 | 2007-01-30 |
| 1831124577 | Mark Michael Reynolds | Emergency Medicine | 26522 Poinsettia Ct, Laguna Hills, CA 92653-7556 | 2006-07-11 |
| 1023052503 | Mark Steven Reynolds | Psychiatry & Neurology | 923 Broad St, Durham, NC 27705-4141 | 2006-06-15 |
| 1558310813 | Mark W Reynolds | Nurse Anesthetist, Certified Registered | 6506 Redstone Ct, Arlington, TX 76001-8108 | 2006-05-06 |
| 1326036484 | Mark Paul Reynolds | Optometrist | 2195 E Custer Ave, Helena, MT 59602-1217 | 2005-10-12 |
| 1104287978 | Mark Reynolds | Registered Nurse | 205 E Crosier St, Akron, OH 44311-2351 | 2016-03-08 |
| 1013388073 | Mark Richard Reynolds | Physical Therapist | 201 N Mountain Rd, Suite 301, Plainville, CT 06062-1848 | 2015-10-15 |
| 1588079800 | Mark Reynolds | Dentist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2014-06-25 |
| Street Address |
295 STATE ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-7036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309291 | Woojung Sul | Dentist | 295 State St, Augusta, ME 04330-7036 | 2017-07-17 |
| 1447469366 | Mark M. Reynolds D.d.s. | Clinic/Center | 295 State St, Augusta, ME 04330-7036 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1730633959 | Carol A. Patel | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2016-08-04 |
| 1477938629 | Alie Kraft | Dentist | 1430 John Wesley Gilbert Dr Augusta University, Augusta, GA 30912-5660 | 2015-07-29 |
| 1982013116 | Jeffrey Steed | Dentist | Dental College of Georgia 1430 John Wesley Gilbert Dr, Augusta, GA 30912 | 2014-08-13 |
| 1619380144 | Nicole Anne Hasenfus | Dentist | 169 Water St, Augusta, ME 04330-4607 | 2014-06-02 |
| 1275898900 | Dyess Parkway Dental, LLC | Dentist | 4045 Jimmie Dyess Pkwy Ste 103, Augusta, GA 30909-9492 | 2012-07-09 |
| 1578862777 | Jonathan L Bullard | Dentist | 3702 Washington Rd., Augusta, GA 30907-2848 | 2011-03-28 |
| 1811205040 | Jason Hamel | Dentist | 94 Western Ave Ste 1, Augusta, ME 04330-7269 | 2010-09-22 |
| 1659686806 | Alan F Myers | Dentist | 1014 Northwood Rd, Suite A, Augusta, GA 30909-2312 | 2010-08-12 |
| Find all providers in AUGUSTA | ||||
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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.