NPI 1831784883
Reynolds Oral & Maxillofacial Surgery, INC
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
Oral and Maxillofacial Surgery Clinic/Center
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.