DR. EDWARD REYNOLDS JR. (NPI# 1528076593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528076593 |
| Entity Type | Individual |
| Full Name | DR. EDWARD REYNOLDS JR. |
| Credential | DDS |
| Practice Address |
47 Town St Norwich CT 06360-2315 |
| Mailing Address |
47 Town St Norwich Norwich CT 06360-2315 |
| Practice Telephone | 8608927042 |
| Practice Fax Number | 8608233060 |
| Mailing Telephone | 8608927042 |
| Mailing Fax Number | 8608233060 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
04544 | CT | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4544 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008032342 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174954929 | Edward Reynolds | Emergency Medical Technician, Paramedic | 105 Westwind Dr, Coraopolis, PA 15108-3866 | 2013-12-04 |
| 1285707794 | Edward Joseph Reynolds | Dentist | 297 Orangeburg Rd, Pearl River, NY 10965 | 2006-11-15 |
| 1013942549 | Edward Roger Reynolds Jr. | Dermatology | 325 Broad Street, Suite 200, Sumter, SC 29150 | 2006-07-12 |
| 1053934018 | Edward Griffin Reynolds | Pharmacist | 1420 E Evans St, Bainbridge, GA 39819-4336 | 2020-05-26 |
| 1356648323 | Edward Hammond Reynolds Jr. | Pharmacist | 1232 W Wade Hampton Blvd, Greer, SC 29650-1243 | 2011-02-27 |
| 1316090616 | Edward John Reynolds | Chiropractor | 25431 Cabot Rd, #110, Laguna Hills, CA 92653-5518 | 2007-01-19 |
| 1619036415 | Edward F Reynolds IIi | Pharmacist | 71 Haynes St, Manchester, CT 06040-4131 | 2006-12-07 |
| 1801967344 | Edward Vicar Reynolds IIi | Psychologist | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2006-11-13 |
| Street Address |
47 TOWN ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741534 | Elizabeth L Goodin | Dentist | 47 Town St, Norwich, CT 06360-2315 | 2005-06-22 |
| 1730786674 | Elizabeth Florentine | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-10-05 |
| 1063028975 | Colleen Roche | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-09-17 |
| 1477167120 | Erin Apt | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-09-01 |
| 1558973610 | Ashley Lynn West | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-08-20 |
| 1427671353 | Kathryn Brahm | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-05-27 |
| 1336761485 | Debra Gottschalk | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2020-05-12 |
| 1689200859 | Jillian Hardy | Marriage & Family Therapist | 47 Town St, Norwich, CT 06360-2323 | 2020-03-19 |
| 1629610860 | Victoria Hulsman | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2019-10-09 |
| 1407402654 | Katherine Ramos | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
| 1518171727 | Jerome Leland Lichtenstein | Dentist | 113 Lafayette St, Norwich, CT 06360-2708 | 2007-05-09 |
| 1215123807 | Norwich Oral & Maxillofacial Surgeons, PC | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
| 1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
| 1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
| 1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
| 1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
| 1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
| 1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
| 1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| 1366671281 | Simon Bangiyev | Dentist | 346 Main Ave Ste H, Norwalk, CT 06851-1592 | 2009-07-13 |
| 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.