Individual
RANDALL D REINHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1821 KANSAS AVE, GREAT BEND, KS 67530-2501
(620) 603-6838
(620) 792-5742
Mailing address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(620) 792-5742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5929
KS
Other
Enumeration date
10/16/2006
Last updated
05/08/2019
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