REYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC; NPI #1831784883

Contact Information

REYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC

104 VINE ST
PRINCETON, WV 24740-3931

Phone: 304-250-1214
Fax: 681-282-5792
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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

NPI #	`1831784883`
LBN Legal business name	REYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC
Authorized official	KRISTOPHER REYNOLDS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/02/2021
Last updated	02/11/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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