DR. MICHAEL THOMAS REYNOLDS (NPI# 1861654626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861654626 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL THOMAS REYNOLDS |
| Credential | D.D.S. |
| Practice Address |
625 E. Nicollet Blvd Suite 340 Burnsville MN 55337 |
| Practice Telephone | 9524350370 |
| Practice Fax Number | 9524350377 |
| Mailing Telephone | 9524350370 |
| Mailing Fax Number | 9524350377 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D12725 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035655 | Michael Justin Reynolds | Home Health Aide | 3926 Southern Ave Se, 101, Washington, DC 20020-2002 | 2020-08-25 |
| 1578105243 | Michael L Reynolds | Dentist | 7742 Herschel Ave Ste I, La Jolla, CA 92037-4444 | 2019-10-14 |
| 1568769743 | Michael David Reynolds | Rehabilitation Practitioner | 6486 Violet Breeze Way, Las Vegas, NV 89142-0997 | 2011-02-23 |
| 1881913150 | Michael Henry Reynolds II | Social Worker | 32790 State Highway 99 S, Stonewall, OK 74871-6128 | 2010-05-25 |
| 1164740767 | Michael W Reynolds | Social Worker | 108 Lincoln Rd Nw, Lake Placid, FL 33852-9728 | 2010-05-07 |
| 1942534714 | Michael P Reynolds | Occupational Therapy Assistant | 2457 N 81st St, Wauwatosa, WI 53213-1012 | 2009-09-28 |
| 1457319543 | Michael J Reynolds | Anesthesiology | 4821 Montgomery Ln, 801, Bethesda, MD 20814-3471 | 2006-05-01 |
| 1669436770 | Michael Bryan Reynolds | Family Medicine | 3480 Deltona Blvd, Spring Hill, FL 34606-2917 | 2006-04-14 |
| 1265418560 | Michael Connell Reynolds | Counselor | 251 Country Club Dr, Eden, NC 27288-3554 | 2005-12-19 |
| 1760486526 | Michael George Reynolds | Specialist | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2005-06-09 |
| Street Address |
625 E. NICOLLET BLVD SUITE 340 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306074836 | Tyler Blaine Peterson | Dentist | 625 E. Nicollet Blvd., Suite 340, Burnsville, MN 55337 | 2009-06-23 |
| 1366992034 | Omar Ezzaldin Abusteit | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2016-10-06 |
| 1124342480 | Rhett C Finley | Dentist | 625 E. Nicollet Blvd., Suite 340, Burnsville, MN 55337 | 2010-03-16 |
| 1407945199 | Metropolitan Endodontics, Ltd. | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-10-12 |
| 1225147184 | Roger Jerome Burke | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1881703742 | Scott Lawrence Doyle | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1518076496 | Eric Holmes Grutzner | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1518076405 | Robert Louis Kaufman | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1013026053 | Andrew Mark Doroschak | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1023127925 | Jerald Herman Lyng | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
Please comment or provide details below to improve the information on DR. MICHAEL THOMAS REYNOLDS.
| 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.