# M. SEAN MCREYNOLDS, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801133632
- **Authorized official:** DR. MICHAEL SEAN MCREYNOLDS DDS (SOLE MEMBER)
- **Authorized official phone:** (620) 473-2289

## Contact information

- **Practice address:** 711 BRIDGE ST, HUMBOLDT, KS 66748-1707
- **Practice address phone:** (620) 473-2289
- **Mailing address:** PO BOX 8, HUMBOLDT, KS 66748-0008
- **Mailing address phone:** (620) 473-2289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6664 | KS | Yes |

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 01/14/2013
