Individual
DR. MICHAEL JOSEPH REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2600 POST RD, SOUTHPORT, CT 06890-1258
(203) 256-8900
(203) 256-2326
Mailing address
2600 POST RD, SOUTHPORT, CT 06890-1258
(203) 256-8900
(203) 256-2326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7525
CT
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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