Jack K. Reynolds Dds Pa
LBN: Jack K. Reynolds Dds Pa
Jack K. Reynolds Dds Pa is an health care organization with primary practice located at 2104 Trimble Rd , Edgewood MD 21040-3126. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty.
Jack K. Reynolds Dds Pa can be contacted via phone (410) 676-5252, or through Reynolds Lundgren, Sharon Elaine via phone (410) 676-5252.
Contact Information
Primary practice address
2104 Trimble Rd
Edgewood MD 21040-3126
Phone: (410) 676-5252
Fax: (410) 679-4068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1841455615 |
|---|---|
| LBN Legal business name | Jack K. Reynolds Dds Pa |
| DBA Doing business as | |
| Authorized official | Reynolds Lundgren, Sharon Elaine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Jul 22nd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841455615 | NPPES |
| Maryland | Other | 817292 | UNITED CONCORDIA |
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