Whalio Doctors

NPI 1831784883

Reynolds Oral & Maxillofacial Surgery, INC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Princeton, WV

Practice location

Address
104 Vine St, Princeton, WV 24740-3931
Phone
(304) 250-1214
Fax
(681) 282-5792

Authorised official

Name
Kristopher Reynolds
Title
Owner
Phone
(304) 250-1214

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X
Oral and Maxillofacial Surgery Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QS0112X

Registry record

NPI
1831784883
Entity type
Organization
NPI issued
2 Mar 2021
Record last updated
11 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.