# DR. GLENDA CHARLENE REYNOLDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528260171
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2637 | NH | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000304310 A | EMPLOYEE BENEFIT ID \# | NH |
| 01 | — | 000800643 | APWU PROVIDER ID | NH |
| 01 | — | 000891547 | UNITED CONCORDIA PROVIDER | NH |
| 01 | — | US00XXXXX00000010000 | DELTA PROVIDER ID | NH |