RANDY K REYNOLDS (NPI# 1770702144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770702144 |
| Entity Type | Individual |
| Full Name | RANDY K REYNOLDS |
| Credential | D.M.D |
| Practice Address |
208 West 3rd Street Forest MS 39074 |
| Practice Telephone | 6014694881 |
| Practice Fax Number | 6014693436 |
| Mailing Telephone | 6014694881 |
| Mailing Fax Number | 6014693436 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2053-83 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00060031 | 05 |
| Street Address |
208 WEST 3RD STREET |
| City | FOREST |
| State | MS |
| Zip Code | 39074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093937237 | Kevin M Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095927 | Tamatha Nicole Owen | Nurse Practitioner | 1061 Highway 35 S, Forest, MS 39074 | 2019-10-28 |
| 1154687838 | Region Ten Commission On Mental Health | Clinic/Center | 13682 Hwy 80 West, Forest, MS 39074 | 2012-04-06 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1487866158 | Terry Ann Meadows | Clinic/Center | 330 North Broad St, Forest, MS 39074 | 2007-05-04 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| 1508951286 | Kara Miles Rowan | Dentist | 1237 Hwy 35 South, Forest, MS 39074 | 2006-10-04 |
| Find all providers in zip 39074 | ||||
| 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 |
|---|---|---|---|---|
| 1861044943 | Chad Austin Mclennan | Dentist | 1084 Thomas Jefferson Rd Ste 5, Forest, VA 24551-2299 | 2019-07-10 |
| 1134658602 | Smilecare Pllc | Dentist | 1237 Highway 35 S, Forest, MS 39074-8830 | 2017-06-08 |
| 1073916334 | Shane R. Claiborne, Dds, Pllc | Dentist | 16862 Forest Rd, Forest, VA 24551 | 2014-10-01 |
| 1649435116 | Reynolds Dental Practice | Dentist | 208 W Third St, Forest, MS 39074-4106 | 2008-07-24 |
| 1225256167 | Dale Clinton Evans | Dentist | 18042 Forest Rd, Forest, VA 24551-4057 | 2007-04-24 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1508951286 | Kara Miles Rowan | Dentist | 1237 Hwy 35 South, Forest, MS 39074 | 2006-10-04 |
| Find all providers in FOREST | ||||
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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.