Reynolds, Roger

Reynolds, Roger is an sole proprietor health care provider with primary practice located at 3809 Forrestgate Dr Ste A , Winston Salem NC 27103-2982. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Reynolds, Roger can be contacted via phone (336) 768-9010.

Contact Information

Primary practice address
3809 Forrestgate Dr Ste A Winston Salem NC 27103-2982
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3599 North Carolina

Profile Details

NPI number 1669595484
LBN Legal business name Reynolds, Roger
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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