MICHAEL LIAM REYNOLDS, DDS, LLC (NPI# 1841842598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841842598 |
| Entity Type | Organization |
| Organization Name | MICHAEL LIAM REYNOLDS, DDS, LLC |
| Practice Address |
984 Ne 8th Street Grants Pass Oregon Grants Pass OR 97526 |
| Mailing Address |
1350 Iowa St Ashland OR 97520-2224 |
| Practice Telephone | 5414717062 |
| Mailing Telephone | 4156725557 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | MS. HEIDI HELEN HILL (CONSULTANT) |
| Authorized Official Telephone | 5037021370 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Reynolds Family Dentistry | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2954 Siskiyou Blvd, Medford, OR 975048161 | 5037021370 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MICHAEL LIAM REYNOLDS, DDS, LLC | 2954 Siskiyou Blvd, Medford, OR 97504 |
| Street Address |
984 NE 8TH STREET GRANTS PASS OREGON |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| 1871968602 | Jeffrey A Christophersen | Counselor | 109 Nw Manzanita Ave, Grants Pass, OR 97526 | 2015-12-04 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1649831991 | Paul Wayne Lamoreau | Dentist | 200 Ne Terry Ln Unit D, Grants Pass, OR 97526-4805 | 2019-06-27 |
| 1851885206 | Shane S Huish | Dentist | 1825 Nw Hawthorne Ave, Grants Pass, OR 97526-1043 | 2018-06-19 |
| 1265815799 | Rogue Valley Family Dentistry LLC | Dentist | 1873 Williams Hwy Ste 1a, Grants Pass, OR 97527-5843 | 2015-07-01 |
| 1376751875 | Bigelow and Pastrell Dentistry | Dentist | 1050 Sw Grandview Ave, Grants Pass, OR 97527 | 2007-05-18 |
| 1073734463 | George R Olfson, IIi | Dentist | 1212 Ne 7th St, Grants Pass, OR 97526-1424 | 2007-05-01 |
| 1245363985 | John Allen Hendy | Dentist | 1501 Ne 6th St, Suite 1a, Grants Pass, OR 97526-1034 | 2007-03-13 |
| 1437200615 | Laura Michelle Johnson | Dentist | 1002 Ramsey Ave, Grants Pass, OR 97527-5816 | 2007-01-15 |
| 1134291081 | Richard B Hill | Dentist | 1035 Ne 6th St, Ste. B, Grants Pass, OR 97526 | 2006-11-15 |
| 1578671574 | Donald Jerome Lanahan | Dentist | 824 Ne A St, Grants Pass, OR 97526-2212 | 2006-08-29 |
| 1023032778 | Southern Oregon Dental L.L.C. | Dentist | 540 Union Ave, Grants Pass, OR 97527-5544 | 2006-07-26 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on MICHAEL LIAM REYNOLDS, DDS, LLC.
| 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.