MARK M. REYNOLDS D.D.S. (NPI# 1447469366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447469366 |
| Entity Type | Organization |
| Organization Name | MARK M. REYNOLDS D.D.S. |
| Practice Address |
295 State St Augusta ME 04330-7036 |
| Practice Telephone | 2076229210 |
| Mailing Telephone | 2076229210 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-10-16 |
| Authorized Official Name | DR. MARK MORRISON REYNOLDS (OWNER) |
| Authorized Official Telephone | 2076229210 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2651 | ME | Ambulatory Health Care Facilities |
| Street Address |
295 STATE ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-7036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285771113 | Mark Morrison Reynolds | Dentist | 295 State St, Augusta, ME 04330-7036 | 2007-01-31 |
| 1700309291 | Woojung Sul | Dentist | 295 State St, Augusta, ME 04330-7036 | 2017-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1750938759 | Augusta Dental, PC | Clinic/Center | 94 Western Ave Ste 1, Augusta, ME 04330-7269 | 2019-08-23 |
| 1407325343 | Gregory A Clepper Dmd, LLC | Clinic/Center | 3553 Wheeler Rd, Augusta, GA 30909-6500 | 2018-11-21 |
| 1033602388 | Christopher R Logan, Dmd, P.C. | Clinic/Center | 137 Western Ave, Augusta, ME 04330-7236 | 2018-06-12 |
| 1073040184 | Hasenfus Family Dental, LLC | Clinic/Center | 41 Fuller Rd, Augusta, ME 04330-4910 | 2017-05-19 |
| 1225374549 | State of Maine | Clinic/Center | 32 Blossom Ln, Augusta, ME 04333-0011 | 2012-12-13 |
| 1457606592 | William M. B. Boyd, Dmd, LLC | Clinic/Center | 1831 Central Ave, Augusta, GA 30904-5734 | 2012-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430711 | Md Portland LLC | Clinic/Center | 15 Middle St # A-c2, Portland, ME 04101-4881 | 2020-05-29 |
| 1740815976 | Douglas H Macgilpin, LLC | Clinic/Center | 80 Baribeau Dr Ste 2, Brunswick, ME 04011-3218 | 2020-03-09 |
| 1750916078 | Dental Hygiene Associates of Maine | Clinic/Center | 8 Moosehead Ln Apt 108, Dover Foxcroft, ME 04426-1402 | 2020-03-06 |
| 1598396350 | Roots Dental, Pllc | Clinic/Center | 191 Marginal Way Ste C, Portland, ME 04101-3387 | 2020-01-30 |
| 1255979563 | Mbrace Orthodontics Pllc | Clinic/Center | 74 Gray Rd Ste 1, Falmouth, ME 04105-2062 | 2019-12-17 |
| 1174184253 | Gorham Village Dental LLC | Clinic/Center | 77 South St, Gorham, ME 04038-1715 | 2019-06-27 |
| 1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
| 1407330467 | Katahdin Family Dental LLC | Clinic/Center | 254 South St, Calais, ME 04619-1322 | 2018-09-17 |
| 1548752363 | Hygiene Health LLC | Clinic/Center | 74 State Rd Ste 202, Kittery, ME 03904-1562 | 2018-06-06 |
| 1891208120 | Westbrook Family Dentistry | Clinic/Center | 100 Larrabee Rd Ste 160, Westbrook, ME 04092-5111 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
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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.