JEFFREY REYNOLDS (NPI# 1982917217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982917217 |
| Entity Type | Individual |
| Full Name | JEFFREY REYNOLDS |
| Credential | DDS |
| Practice Address |
14243 Hwy 90 Boutte LA 70394 |
| Practice Telephone | 9857850488 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6076 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043221963 | Jeffrey John Reynolds | Occupational Therapist | 639 E Main St Ste B102, Hendersonville, TN 37075-2646 | 2006-08-10 |
| 1891752259 | Jeffrey L Reynolds | Optometrist | 2015 S Loudoun St, Winchester, VA 22601-3612 | 2006-04-28 |
| 1083600381 | Jeffrey Reynolds | Internal Medicine | 240 Indian River Rd, Suite A5, Orange, CT 06477-3649 | 2005-09-22 |
| 1699390575 | Jeffrey Reynolds | Family Medicine | 5515 Peach St, Erie, PA 16509-2695 | 2020-06-16 |
| 1598394207 | Jeffrey Tyler Reynolds | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2020-04-04 |
| 1508207945 | Jeffrey M Reynolds | Physician Assistant | Elm and Carlton St, Buffalo, NY 14263-0001 | 2013-07-15 |
| 1417982182 | Jeffrey R. Reynolds | General Practice | 4001 Tieton Dr, Yakima, WA 98908-3345 | 2006-07-11 |
| 1639101827 | Jeffrey C Reynolds | Otolaryngology | 737 Broadway N, Fargo, ND 58122-0001 | 2006-07-07 |
| 1104854306 | Jeffrey Scott Reynolds | Chiropractor | 10221 Desert Sands St, Suite 206, San Antonio, TX 78216-3959 | 2006-06-28 |
| 1578509840 | Jeffrey L Reynolds | Family Medicine | 2400 Eastpoint Pkwy, Suite 550, Louisville, KY 40223-4154 | 2006-06-22 |
| Street Address |
14243 HWY 90 |
| City | BOUTTE |
| State | LA |
| Zip Code | 70394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221798 | Caitlin Morris Bacon | Registered Nurse | 4244 Highway 1, Raceland, LA 70394 | 2019-02-13 |
| 1326571597 | Kakeisha Harris | Counselor | 144 Colvan St, Raceland, LA 70394 | 2017-04-05 |
| 1023468774 | Denise Taylor | Counselor | 4075 Hwy 1, Raceland, LA 70394 | 2016-06-14 |
| 1023471133 | Aubrey Orgeron | Psychiatry & Neurology | 111 Twin Oaks Dr., Raceland, LA 70394 | 2016-04-05 |
| 1114383239 | Michelle Rabb | Counselor | 3821 Hwy 1, Raceland, LA 70394 | 2016-01-05 |
| 1508221979 | Renisha Cecilia Oubre | Counselor | 3821 Highway 1, Raceland, LA 70394 | 2015-12-29 |
| 1922463983 | Kiaria Gray | Case Manager/Care Coordinator | 3821 La-1, Raceland, LA 70394 | 2015-12-17 |
| 1285068098 | Don A Falgout | Nurse Anesthetist, Certified Registered | 4608 Hwy 1, Raceland, LA 70394 | 2013-08-28 |
| 1215211933 | Dalton Joseph Boudreaux Jr. | Pharmacist | 4572 Hwy One, Raceland, LA 70394 | 2011-09-29 |
| 1790065746 | Cheri Lasseigne | Chiropractor | 108 Acadia Dr., Raceland, LA 70394 | 2011-08-23 |
| Find all providers in zip 70394 | ||||
| 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 |
|---|---|---|---|---|
| 1053460717 | Peter L. Glaser | Dentist | 13270 Highway 90, Boutte, LA 70039 | 2007-01-10 |
| 1750760039 | Andy Minh Le | Dentist | 14243 Highway 90, Boutte, LA 70039-3517 | 2015-05-20 |
| 1114305588 | Erin Sauzer Hymel | Dentist | 13270 Highway 90, Boutte, LA 70039-3002 | 2015-05-18 |
| 1265582464 | Laurie R. Glaser | Dentist | 13270 Highway 90, Boutte, LA 70039 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1508465899 | Exceptional Dental of Highland, LLC | Dentist | 7278 Highland Rd Ste C, Baton Rouge, LA 70808-6604 | 2020-10-19 |
| 1144828203 | Nia Beasley | Dentist | 1312 Octavia St, New Orleans, LA 70115-4225 | 2020-10-12 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1730797341 | Tyler Stephen Hawthorne | Dentist | 205 N Hood St, Lake Providence, LA 71254-2103 | 2020-07-20 |
| 1174149363 | Nataliya Pavlovna Jumonville | Dentist | 1708 Mlk Jr Blvd Ste 101, Houma, LA 70360-2408 | 2020-06-23 |
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1629693064 | Vial Joseph Leblanc IIi | Dentist | 1007 W Thomas St Ste E, Hammond, LA 70401-3062 | 2020-06-11 |
| 1174148779 | Audubon Urgent Dental | Dentist | 7181 U.S. Hwy 61, Suite 10, Saint Francisville, LA 70775 | 2020-06-10 |
| 1093330631 | Seaira-myangel Emily Miles | Dentist | 3569 W Louisiana State Dr, Kenner, LA 70065-2451 | 2020-06-09 |
| 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.