National Provider Identifier Database

REYNOLDS ORAL MAXILLOFACIAL SURGERY INC
Oral & Maxillofacial Surgery


Contact Information

REYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC
104 VINE ST
PRINCETON, WV24740-3931
Phone: 304-250-1214
Fax: 681-282-5792
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for REYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC

NPI Number 1831784883
Legal business name
LBN
REYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC
Authorized official KRISTOPHER REYNOLDS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/02/2021
Last updated 02/11/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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