Reynolds, Russell T.
Reynolds, Russell T. is an sole proprietor health care provider with primary practice located at 289 Main St , Salem NH 03079-2731. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Reynolds, Russell T. can be contacted via phone (603) 898-9773.Contact Information
Primary practice address
289 Main St
Salem NH 03079-2731
Phone: (603) 898-9773
Fax: (603) 893-5461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 02093 | New Hampshire |
Profile Details
| NPI number | 1386962033 |
|---|---|
| LBN Legal business name | Reynolds, Russell T. |
| Credentials | DDS,MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2010 |
| Last updated | May 5th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386962033 | NPPES |
| New Hampshire | MEDICAID | 043372433 |
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