Organization
HARRIS AND REYNOLDS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID REYNOLDS DDS (OWNER)
(501) 455-6100
Entity
Organization
Contact information
Practice address
9801 STAGECOACH RD, LITTLE ROCK, AR 72210-5737
(501) 455-6100
Mailing address
9801 STAGECOACH RD, LITTLE ROCK, AR 72210-5737
(501) 455-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F111
BLUE CROSS
AR
Enumeration date
08/23/2006
Last updated
06/06/2022
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