Individual
DR. DANIEL ADA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2816 VEACH RD, BUILDING #2, OWENSBORO, KY 42303-6295
(270) 926-0548
(270) 926-7146
Mailing address
2816 VEACH RD, BUILDING #2, OWENSBORO, KY 42303-6295
(270) 926-0548
(270) 926-7146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4856
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60048568
—
KY
Enumeration date
08/15/2006
Last updated
07/08/2007
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