DR. DUSTIN SHANE REYNOLDS (NPI# 1306132485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306132485 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN SHANE REYNOLDS |
| Credential | D.D.S. |
| Practice Address |
2904 Old Forest Rd Lynchburg VA 24501-2320 |
| Practice Telephone | 4346647039 |
| Mailing Telephone | 4344394942 |
| Mailing Fax Number | 4344394936 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 3941 | WV | Dental Providers |
| Y | 122300000X | Dentist | 0401413169 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801241757 | Dustin Reynolds | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Suite Msb 5.196, Houston, TX 77030-1501 | 2016-04-28 |
| 1487059333 | Dustin Reynolds | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2014-11-04 |
| Street Address |
2904 OLD FOREST RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124163522 | Charles A Glenn Jr. | Dentist | 2904 Old Forest Rd, Lynchburg, VA 24501-2320 | 2007-02-21 |
| 1841685864 | Dustin S. Reynolds, D.d.s., P.C. | Clinic/Center | 2904 Old Forest Rd, Lynchburg, VA 24501-2320 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292294 | Tong Wook Kim | Dentist | 1614 Graves Mill Rd, Lynchburg, VA 24502-4329 | 2020-07-09 |
| 1356683163 | Charles Frederick Smith | Dentist | 46 Shelor Dr, Lynchburg, VA 24502-5528 | 2013-03-19 |
| 1518253970 | Brad Allen Lentz | Dentist | 3719 Old Forest Rd, Lynchburg, VA 24501-6903 | 2011-06-23 |
| 1255567897 | David Thomas Kiger | Dentist | 115 Wiggington Rd, Lynchburg, VA 24502-4619 | 2009-06-10 |
| 1104060698 | James Mcguire Peery IIi | Dentist | 2229 Murrell Rd, Lynchburg, VA 24501 | 2009-04-28 |
| 1295864304 | Donald Mcquire Wallace | Dentist | 3700 Old Forest Rd, Lynchburg, VA 24501-6900 | 2007-03-05 |
| 1700927035 | Daniel Fred Savage IIi | Dentist | 1910 Thomson Drive, Lynchburg, VA 24501 | 2007-02-09 |
| 1639225477 | Jeffrey Riley | Dentist | 3709 Old Forest Rd, Lynchburg, VA 24501-2321 | 2007-01-26 |
| 1083703524 | Brian John Mcavoy | Dentist | 1604 Graves Mill Rd, Lynchburg, VA 24502 | 2006-10-12 |
| 1316035033 | Walter Lee Phillips | Dentist | 4700 Fort Ave, Lynchburg, VA 04502 | 2006-10-10 |
| Find all providers in LYNCHBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.