Individual provider · Type 1 NPI
Edward Reynolds Jr., DDS
Oral and Maxillofacial Surgery (Dentist) · Norwich, CT
NPI number
1528076593
Active
Practice location
47 Town St
Norwich, CT 06360-2315
Fax (860) 823-3060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 4544 (CT) |
| General Practice Dentistry | 1223G0001X | 04544 (CT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1528076593
Edward Reynolds Jr., DDS's National Provider Identifier is 1528076593, issued on Aug 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Norwich, CT. The record was last updated on Sep 16, 2013.