Individual
DR. MICHAEL CLAYTON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2381 NE CONNERS AVE, BEND, OR 97701-6068
(541) 678-6262
Mailing address
PO BOX 11470, EUGENE, OR 97440-3670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D11442
OR
1223G0001X
General Practice Dentistry
Primary
D11442
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
03/02/2023
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