AW REYNOLDS JR - DURHAM PLLC (NPI# 1548785306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548785306 |
| Entity Type | Organization |
| Organization Name | AW REYNOLDS JR - DURHAM PLLC |
| Other Organization Name | TROPHY SMILES DENTISTRY |
| Practice Address |
601 Fayetteville St Ste 100 Durham NC 27701-3997 |
| Mailing Address |
2106 N Duke St Durham NC 27704-4108 |
| Practice Telephone | 9199730178 |
| Mailing Telephone | 9193230521 |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2017-08-13 |
| Authorized Official Name | DR. ARTHUR REYNOLDS JR. (OWNER) |
| Authorized Official Telephone | 9193230521 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | ARTHUR REYNOLDS JR AND ASSOCIATES P.L.L.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
09241 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Trophy Smiles Dentistry | Doing Business As Name - Organization |
| Street Address |
601 FAYETTEVILLE ST STE 100 |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654668 | Juthika Jyotimallika | Dentist | 601 Fayetteville St Ste 100, Durham, NC 27701-3997 | 2018-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114516 | Lei Cao Dds Phd Pllc | Clinic/Center | 3917 University Dr, Durham, NC 27707-2517 | 2019-10-02 |
| 1407329972 | Nicole J. Messenger, Dmd, Pllc | Clinic/Center | 2206 Page Rd Ste 103, Durham, NC 27703-7711 | 2019-01-08 |
| 1457868259 | Spriggs, D.d.s., P.l.l.c. | Clinic/Center | 5400 S Miami Blvd Ste 116, Durham, NC 27703-8465 | 2018-01-03 |
| 1184137374 | Peter A Tzendzalian, Dds, Pa | Clinic/Center | 3608 Shannon Rd Ste 205, Durham, NC 27707-6344 | 2017-11-09 |
| 1023530847 | Dr. Christopher M Silvoy Dmd & Assoc., Pllc | Clinic/Center | 4301 Ben Franklin Blvd Ste 101, Durham, NC 27704-2145 | 2017-07-13 |
| 1821213158 | Charles J. Lohr, D.d.s. | Clinic/Center | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2007-04-13 |
| 1639779598 | Dr Chandra C. Brown Hines, Dds, Pllc | Clinic/Center | 708 S Duke St, Durham, NC 27701-3119 | 2020-10-29 |
| 1932716552 | Parekh Ali & Associates Pllc | Clinic/Center | 202 W Nc Highway 54 Ste 201, Durham, NC 27713-7564 | 2020-09-28 |
| 1801413802 | Kwame A. Gyampo Dds Pllc | Clinic/Center | 632 Gary St, Durham, NC 27703-2299 | 2020-06-25 |
| 1023577087 | A. Stephens Dental Inc. | Clinic/Center | 2500 Durham Dayton Hwy, Durham, CA 95938-9440 | 2019-03-18 |
| Find all providers in DURHAM | ||||
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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.