Organization · Type 2 NPI
Roger N Reynolds 111 DDS MS PA
Dental Clinic/Center · Winston Salem, NC
NPI number
1801053475
Active
Practice location
3809 Forrestgate Dr, Suite A
Winston Salem, NC 27103-2982
Fax (336) 768-9011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3599 (NC) |
Dental Clinic/Center: Definition to come...
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About NPI 1801053475
Roger N Reynolds 111 DDS MS PA's National Provider Identifier is 1801053475, issued on May 20, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Winston Salem, NC. The record was last updated on May 20, 2008.