| Jack K. Reynolds Dds Pa | |
|
2104 Trimble Rd Edgewood MD 21040-3126 | |
| (410) 676-5252 | |
| (410) 679-4068 |
| Full Name | Jack K. Reynolds Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 2104 Trimble Rd, Edgewood, Maryland |
| Authorized Official Name and Position | Sharon Elaine Reynolds Lundgren (D.D.S) |
| Authorized Official Contact | 4106765252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack K. Reynolds Dds Pa Po Box 696 Edgewood MD 21040-0696 Ph: (410) 676-5252 | Jack K. Reynolds Dds Pa 2104 Trimble Rd Edgewood MD 21040-3126 Ph: (410) 676-5252 |
| NPI Number | 1841455615 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841455615 | NPI | - | NPPES |
| 817292 | Other | MD | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
Chesapeake Contemporary Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way, Suite 105, Edgewood, MD 21040 Phone: 410-679-2790 Fax: 410-679-4207 | |
T. Scott Jenkins, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Pulaski Hwy Ste V, Edgewood, MD 21040 Phone: 410-679-2523 Fax: 410-676-2683 |