DR. GLENDA CHARLENE REYNOLDS (NPI# 1528260171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528260171 |
| Entity Type | Individual |
| Full Name | DR. GLENDA CHARLENE REYNOLDS |
| Credential | D.D.S. |
| Practice Address |
56720 Calumet Ave Calumet MI 49913-1967 |
| Mailing Address |
894 Campus Dr Suite B Hancock MI 49930-1644 |
| Practice Telephone | 9064831177 |
| Practice Fax Number | 9064831188 |
| Mailing Telephone | 9064831445 |
| Mailing Fax Number | 9064831122 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2637 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | DELTA PROVIDER ID | US00XXXXX00000010000 | 01 |
| NH | APWU PROVIDER ID | 000800643 | 01 |
| NH | EMPLOYEE BENEFIT ID # | 000304310 A | 01 |
| NH | UNITED CONCORDIA PROVIDER | 000891547 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982936035 | Glenda Phillips Reynolds | Counselor | 575 Ridge Park Dr, Montgomery, AL 36117-8032 | 2010-01-31 |
| Street Address |
56720 CALUMET AVE |
| City | CALUMET |
| State | MI |
| Zip Code | 49913-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255410338 | Elizabeth D. Vanlandschoot | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2006-11-02 |
| 1407349012 | Alicia Ranae Clark | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2018-06-08 |
| 1407347669 | Emily Irene Bushong | Dental Hygienist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2018-05-23 |
| 1831608629 | Jamie Alea Goff | Dental Hygienist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2017-09-25 |
| 1396295721 | Upper Great Lakes Family Health Center | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2016-10-10 |
| 1114354479 | Upper Great Lakes Family Health Center | Clinic/Center | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2013-10-02 |
| 1316381387 | Adam Girard Frimodig | Family Medicine | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386947695 | Sheri L. Giordana | Nurse Practitioner | 205 Osceola St., Aspirus Keweenaw, Laurium, MI 49913 | 2010-12-08 |
| 1700073376 | Body Mechanix Physical Therapy, LLC | Physical Therapist | 56730 Calumet Avenue, Suite M, Calumet, MI 49913 | 2007-09-27 |
| 1568843795 | Wanda Joan Kiiskila | Speech-Language Pathologist | 25770 Elm St, Calumet, MI 49913-1220 | 2015-06-12 |
| 1841464492 | Phoenix House Inc. | Substance Abuse Rehabilitation Facility | 57467 Waterworks St, Calumet, MI 49913-1258 | 2008-04-15 |
| 1225103500 | Aspirus Keweenaw Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 54 2nd St, Laurium, MI 49913-1319 | 2006-11-21 |
| 1417281411 | Superior Pediatrics, Pllc | Pediatrics | 324 5th St, Calumet, MI 49913-1502 | 2009-09-23 |
| 1245462142 | Lisa L Spence | Nurse Practitioner | 324 5th St, Calumet, MI 49913-1502 | 2009-08-12 |
| 1003979501 | Jeffrey Evan Jacobs | Pediatrics | 324 5th St, Calumet, MI 49913-1502 | 2006-12-18 |
| 1548214315 | Keweenaw Home Nursing, Inc. | Hospice Care, Community Based | 311 6th St, Calumet, MI 49913-1507 | 2006-05-19 |
| 1053895870 | Susan Louise Peterson | Physical Therapist | 311 6th St, Calumet, MI 49913-1507 | 2018-09-18 |
| Find all providers in zip 49913 | ||||
| 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 |
|---|---|---|---|---|
| 1255410338 | Elizabeth D. Vanlandschoot | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2006-11-02 |
| 1396295721 | Upper Great Lakes Family Health Center | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 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.