Organization · NPI-2

Adam Reynolds Dmd Ortho LLC

Dentist, Orthodontics and Dentofacial Orthopedics · Madison, AL

NPI number1720711948
StatusActive
Last updated in NPPESJul 5, 2022

Details

NPI
1720711948
Entity type
Organization (NPI-2)
Legal business name
Adam Reynolds Dmd Ortho LLC
Organization subpart
No
Enumeration date
Jul 5, 2022
Certification date
Jul 5, 2022
Last updated
Jul 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––Yes

Other names

  • Orthodontic Design Company (Doing Business As)

Practice location

25 Hughes Rd
Madison, AL 35758-2238

Phone 256-870-8700

Mailing address

25 Hughes Rd
Madison, AL 35758-2238

Phone 256-870-8700

Authorized official

Adam Keith Reynolds
Orthodontist
2568708700

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