Individual
DR. JOHN SIMPSON REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3277 S CRATER RD, PETERSBURG, VA 23805-9285
(804) 732-5776
(804) 732-5782
Mailing address
3277 S CRATER RD, PETERSBURG, VA 23805-9285
(804) 732-5776
(804) 732-5782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413636
VA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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