Individual
NICHOLAS REINAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017017264
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400043349
—
MO
Enumeration date
05/02/2017
Last updated
10/07/2022
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