Dr Kyle T Reynolds, DDS | |
809 N Frankford Ave, Lubbock, TX 79416-1568 | |
(806) 796-2408 | |
(806) 686-6246 |
Full Name | Dr Kyle T Reynolds |
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Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 809 N Frankford Ave, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699061473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DEN.00203233 (Colorado) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 35767 (Texas) | Primary |
Entity Name | Denver Health And Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
Mailing Address | Practice Location Address |
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Dr Kyle T Reynolds, DDS 809 N Frankford Ave, Lubbock, TX 79416-1568 Ph: (806) 796-2408 | Dr Kyle T Reynolds, DDS 809 N Frankford Ave, Lubbock, TX 79416-1568 Ph: (806) 796-2408 |
David A Midkiff, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3315 64th St, Lubbock, TX 79413 Phone: 806-799-3191 Fax: 806-797-4261 | |
Dr. Joel T Casler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2420 Quaker Ste 205, Lubbock, TX 79410 Phone: 806-795-9544 Fax: 806-795-0202 | |
Bruce Alan Schrader, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3305 81st St, Ste D, Lubbock, TX 79423 Phone: 806-745-8413 | |
William Jeong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2811 S Loop 289 Ste 12, Lubbock, TX 79423 Phone: 806-748-9797 | |
Dr. Jean Kathleen Bernardo Cala, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4903 82nd St., Suite 20, Lubbock, TX 79424 Phone: 806-798-2996 Fax: 806-798-2998 | |
Dr. Dietmar A Kennel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1504 Buddy Holly Ave, Lubbock, TX 79401 Phone: 806-749-5437 Fax: 806-744-7241 | |
Dr. Gerald Clay Bevers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4903 82nd St Suite 60, Lubbock, TX 79424 Phone: 806-798-2996 Fax: 806-798-2998 |