EVAN STEWART REYNOLDS


Address: 304 W Washington Ave, Richland, MO 65556-7101
Phone: 5737652510

EVAN STEWART REYNOLDS (NPI# 1386031805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386031805
Entity Type Individual
Full Name EVAN STEWART REYNOLDS
Practice Address 304 W Washington Ave
Richland
MO 65556-7101
Mailing Address Po Box 777
Richland Medical Center Inc
Richland
MO 65556-0777
Practice Telephone 5737652510
Practice Fax Number 5737652513
Mailing Telephone 5737655131
Enumeration Date 2015-04-22
Last Update Date 2015-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2015002019 MO Dental Providers

Office Location

Street Address 304 W WASHINGTON AVE
City RICHLAND
State MO
Zip Code 65556-7101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043288806 Lisa King Nurse Practitioner 304 W Washington Ave, Richland, MO 65556-7101 2006-03-09
1114427556 Kristi D Atkins Nurse Practitioner 304 W Washington Ave, Richland, MO 65556-7101 2018-02-12
1710400312 Jocelyn Joanne Gutowski Social Worker 304 W Washington Ave, Richland, MO 65556-7101 2017-07-25
1447626593 Angelia Marie Cayou Nurse Practitioner 304 W Washington Ave, Richland, MO 65556-7101 2015-08-12
1740670462 Cira Monnig Registered Nurse 304 W Washington Ave, Richland, MO 65556-7101 2015-02-02
1952742595 Sara Ashley Warren Family Medicine 304 W Washington Ave, Richland, MO 65556-7101 2013-07-11
1316177512 Bethany Rackers Social Worker 304 W Washington Ave, Richland, MO 65556-7101 2009-07-22
1598968489 Richland Medical Center, Inc. Clinic/Center 304 W Washington Ave, Richland, MO 65556-7101 2007-06-07
1992836043 Albert Sohnen Dentist 304 W Washington Ave, Richland, MO 65556-7101 2007-03-08
1407987555 Allen D. Rodgers Dentist 304 W Washington Ave, Richland, MO 65556-7101 2007-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932706603 Heaven's Hope LLC Custodial Care Facility 25300 Rio Road, Richland, MO 65556 2020-10-06
1083964399 Kimberly Sue Sutton Speech-Language Pathologist 400 Tri County, Richland, MO 65556 2012-09-13
1326234329 Stockstills Pharmacy Inc Pharmacy 104 W Mcclurg Ave, Richland, MO 65556 2007-09-24
1477606473 Jan S Harmon Psyd Pa Clinical Neuropsychologist 209 Dublin Lane, Richland, MO 65556 2007-01-21
1952402620 Hilton Health and Wellness Chiropractic L.L.C. Chiropractor 120 W. Mcclurg Ave., Richland, MO 65556 2006-09-26
1619985959 Shad Alan Hilton Chiropractor 120 W. Mcclurg Ave, Richland, MO 65556 2006-08-03
1386625788 Jonk LLC Durable Medical Equipment & Medical Supplies 609 W Washington Ave, Richland, MO 65556 2005-11-11
1972635639 Mercy Clinic-springfield Communities Family Medicine 904 S Pine St, Richland, MO 65556 2007-03-09
1366958332 Rachel Fenton Speech-Language Pathologist Po Box 756, Richland, MO 65556-0756 2017-12-28
1982748091 Richland Care Center, Inc. Skilled Nursing Facility 400 Tri-county Lane, Richland, MO 65556-0756 2007-02-20
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174080162 Tracey S Tucker Dentist 6274 Baywater Ln, Richland, MI 49083-9768 2019-02-26
1225351059 James William Huffman II Dentist 1207 George Washington Way, Richland, WA 99352-3446 2010-03-08
1235398710 Lawrence Glenn Braithwaite Dentist 482 Keene Rd, Richland, WA 99352 2008-06-09
1548300197 Glenn Lee Ostler Dentist 1518 Jadwin Ave, Richland, WA 99354-2902 2007-02-06
1366506503 Craig C Christian Dentist 225 Van Giesen St, Richland, WA 99354-2616 2006-12-21
1750450581 James Anthony Presley Dentist 125 W Harper St, Richland, MS 39218-4406 2006-11-07
1427132927 Kenneth E. Lagergren Dentist 1908 George Washington Way # A, Richland, WA 99354-2308 2006-10-24
1780767871 Joshua E. Cadwell Dds Pllc Dentist 475 Keene Rd, Richland, WA 99352-5007 2006-10-23
1609957794 Katie M Storey Dentist 660 Swift Blvd Ste C, Richland, WA 99352-3560 2006-10-17
1154411981 Michael Don Breier Dentist 2469 Queensgate Dr, Richland, WA 99352-4116 2006-10-13
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Competitor

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City RICHLAND
Zip Code 65556

Improve Information

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Dataset Information

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.

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