Wood, Reginald Lynn

Wood, Reginald Lynn is an individual health care provider with primary practice located at 10 1St St Sw , Minot ND 58701-3859. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wood, Reginald Lynn can be contacted via phone (701) 852-3939.

Contact Information

Primary practice address
10 1St St Sw Minot ND 58701-3859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1643 North Dakota

Profile Details

NPI number 1427000579
LBN Legal business name Wood, Reginald Lynn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427000579 NPPES
North Dakota MEDICAID 40787

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