DR. HEATHER LEE REYNOLDS (NPI# 1346388535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346388535 |
| Entity Type | Individual |
| Full Name | DR. HEATHER LEE REYNOLDS |
| Credential | D.D.S. |
| Practice Address |
102 W Progress Dr Princeton IL 61356-8601 |
| Mailing Address |
628 Cornell St Ottawa IL 61350-3824 |
| Practice Telephone | 8158751138 |
| Mailing Telephone | 8152454875 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104163518 | Heather Jo Reynolds | Speech-Language Pathologist | 2931 Woodelm Dr, Rochester Hills, MI 48309-4324 | 2013-01-07 |
| 1700100807 | Heather Reynolds | Behavioral Analyst | 17 Leland Point Dr, Portsmouth, RI 02871-6313 | 2010-03-17 |
| 1053455360 | Heather Mcree Reynolds | Pharmacist | 114 Hancock St S, Fort Gaines, GA 39851-4338 | 2007-02-19 |
| 1396367835 | Heather Reynolds | Occupational Therapy Assistant | 1200 W College St, Liberty, MO 64068-1036 | 2020-05-06 |
| 1104312743 | Heather Nicole Reynolds | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2018-07-06 |
| 1023515772 | Heather Nichole Reynolds | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-04-10 |
| 1265979892 | Heather Ann Reynolds | Nurse Practitioner | 2409 Mitchell Rd, Bedford, IN 47421-4731 | 2017-01-20 |
| 1447655063 | Heather Reynolds | Physician Assistant | 3705 N 6100 W, Ivins, UT 84738 | 2014-10-24 |
| 1790185619 | Heather Reynolds | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2014-08-28 |
| 1477966075 | Heather Reynolds | Speech-Language Pathologist | 105 Florida Ave, Carolina Beach, NC 28428-5802 | 2014-06-11 |
| Street Address |
102 W PROGRESS DR |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528611944 | Cecilia Amarantha White | Dentist | 601 Ewing St Ste B16, Princeton, NJ 08540-2755 | 2019-07-24 |
| 1992008932 | Jody Annette Gill | Dentist | 670 W Princeton Dr Ste 600, Princeton, TX 75407-2556 | 2010-12-14 |
| 1790098630 | Guojun Ma | Dentist | 10 Harrogate Cir, Princeton, NJ 08540-7942 | 2010-07-20 |
| 1255595096 | Princeton Family Dental | Dentist | 275 W Princeton Dr, # 100, Princeton, TX 75407-9602 | 2008-07-10 |
| 1477724409 | Philip J. Lingle | Dentist | 510 1st St, Princeton, MN 55371-1604 | 2008-03-18 |
| 1760652424 | Hubert H Byron Jr. | Dentist | 202 S Walker St, Princeton, WV 24740-2747 | 2008-03-09 |
| 1689877664 | Peter M Lewis | Dentist | 253 Witherspoon St Ste 253, Princeton, NJ 08540-3211 | 2007-06-07 |
| 1467654434 | I. Andrew Shelpuk | Dentist | 364 Nassau St, Princeton, NJ 08540-4615 | 2007-06-01 |
| 1174724868 | Poorva Parnaik | Dentist | 5 Aldgate Ct, Princeton, NJ 08540-7014 | 2007-05-30 |
| 1225239403 | Elite Dental Care Inc | Dentist | 838 Alexander Rd, Princeton, NJ 08540-6304 | 2007-05-29 |
| Find all providers in PRINCETON | ||||
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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.