Organization
OZARK PREFERRED DENTAL GROUP
Active
Other names
Robert Reynolds, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KEITH REYNOLDS DDS (OWNER)
(417) 881-3220
Entity
Organization
Contact information
Practice address
3211 E BATTLEFIELD ST, SUITE 100, SPRINGFIELD, MO 65804-4050
(417) 881-3220
(417) 881-6473
Mailing address
3211 E BATTLEFIELD ST, SUITE 100, SPRINGFIELD, MO 65804-4050
(417) 881-3220
(417) 881-6473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015036
MO
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/10/2011
Last updated
03/23/2011
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