Organization
REYNOLDS FAMILY DENTISTRY II, LLC
Active
Other names
Reynolds Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SCHAFER REYNOLDS D.M.D. (OWNER/DENTIST)
(812) 246-3368
Entity
Organization
Contact information
Practice address
809 S INDIANA AVE, SELLERSBURG, IN 47172-1613
(812) 246-3368
(812) 246-0589
Mailing address
809 S INDIANA AVE, SELLERSBURG, IN 47172-1613
(812) 246-3368
(812) 246-0589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011204
IN
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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