DR. RUSSELL T. REYNOLDS (NPI# 1386962033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386962033 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL T. REYNOLDS |
| Credential | DDS,MS |
| Practice Address |
289 Main St Salem NH 03079-2731 |
| Practice Telephone | 6038989773 |
| Practice Fax Number | 6038935461 |
| Mailing Telephone | 6038989773 |
| Mailing Fax Number | 6038935461 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
02093 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 043372433 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134382344 | Russell Kai Reynolds | Dentist | 254 Palm Ave, Ashland, OR 97520-2232 | 2008-07-08 |
| Street Address |
289 MAIN ST |
| City | SALEM |
| State | NH |
| Zip Code | 03079-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720360639 | Huber Natural Health, LLC | Registered Nurse | 289 Main St, Salem, NH 03079-2731 | 2011-09-16 |
| 1235420563 | Candice Joy Scholl | Naturopath | 289 Main St, Salem, NH 03079-2731 | 2011-04-20 |
| 1043463193 | Mary Cole | Acupuncturist | 289 Main St, Salem, NH 03079-2731 | 2008-11-02 |
| 1386893808 | Bethany M Bedard | Massage Therapist | 289 Main St, Salem, NH 03079-2731 | 2008-09-09 |
| 1538379391 | Bonny Boston | Social Worker | 289 Main St, Salem, NH 03079-2731 | 2007-05-23 |
| 1457400749 | Lynda Dionne | Social Worker | 289 Main St, Salem, NH 03079-2731 | 2007-01-09 |
| 1871640151 | Richard Michael Galvin | Social Worker | 289 Main St, Salem, NH 03079-2731 | 2007-01-05 |
| 1699838425 | Marriage and Family Therapy Associates of Nh | Social Worker | 289 Main St, Salem, NH 03079-2731 | 2006-12-19 |
| 1700984994 | Mary L Mozo | Counselor | 289 Main St, Salem, NH 03079-2731 | 2006-09-20 |
| 1669494290 | Joseph P Gurka | Internal Medicine | 289 Main St, Salem, NH 03079-2731 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| 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 |
|---|---|---|---|---|
| 1396134896 | Viktoria P. Talebian Dmd PC | Dentist | 128 Highland Avenue, Suite #1, Salem, MA 01970 | 2015-01-21 |
| 1861732927 | Reid Michael Amborn | Dentist | 1810 E Nob Hill St Se, Salem, OR 97302-5238 | 2013-02-26 |
| 1053605246 | Cole R Johnson | Dentist | 2755 Commercial St Se Ste 200, Salem, OR 97302-4991 | 2011-06-05 |
| 1457675738 | Thomas Orthodontics | Dentist | 424 State Road 198, Salem, UT 84653-4605 | 2010-03-16 |
| 1801012240 | Frank R Bailey Ddd Inc | Dentist | 2384 Southeast Blvd, Salem, OH 44460-3418 | 2007-04-17 |
| 1508904046 | Richard Horne Tate | Dentist | 701 S College Ave, Salem, VA 24153-5167 | 2007-02-04 |
| 1366518672 | Mcdonald Orthodontics | Dentist | 1855 West Nob Hill St Se, Suite 300, Salem, OR 97302 | 2006-11-28 |
| 1750455325 | Richard S Teel | Dentist | 1460 Commercial St Se, Salem, OR 97302-4308 | 2006-11-17 |
| 1922170208 | Earl Edmondson Gilder | Dentist | 3940 Lancaster Dr Ne, Salem, OR 97305-1450 | 2006-11-14 |
| 1013020031 | Viktoria Talebian | Dentist | 128 Highland Ave # 1, Salem, MA 01970-2724 | 2006-08-16 |
| Find all providers in SALEM | ||||
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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.