Individual
DAVID EVERETT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9801 STAGECOACH RD, LITTLE ROCK, AR 72210-5737
(501) 455-6100
(501) 455-6103
Mailing address
9801 STAGECOACH RD, LITTLE ROCK, AR 72210-5737
(501) 455-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3360
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041200182
QUAL CHOICE
—
01
—
1620840
UNITED CONCORDIA
AR
01
—
5X928
BLUE CROSS
AR
Enumeration date
08/23/2006
Last updated
06/06/2022
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