Organization
OZARKS PREFERRED DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT K REYNOLDS D.D.S. (OWNER)
(417) 881-3220
Entity
Organization
Contact information
Practice address
1500 E SUNSHINE ST, SUITE H, SPRINGFIELD, MO 65804-1214
(417) 881-3220
(417) 881-6473
Mailing address
1500 E SUNSHINE ST, SUITE H, SPRINGFIELD, MO 65804-1214
(417) 881-3220
(417) 881-6473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015036
MO
1223G0001X
General Practice Dentistry
015949
MO
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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