Individual
DR. ROBERT K REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3259 E SUNSHINE ST, SUITE Q, SPRINGFIELD, MO 65804-2143
(417) 881-3220
(417) 881-6473
Mailing address
3259 E SUNSHINE ST, SUITE Q, SPRINGFIELD, MO 65804-2143
(417) 881-3220
(417) 881-6473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015036
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015036
DENTAL LICENSE
MO
Enumeration date
01/04/2007
Last updated
01/22/2014
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