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NPI Code Detail

MEDICARE: DR. TERRILYN JAMILLE REYNOLDS D.D.S.

MEDICARE:  DR. TERRILYN JAMILLE REYNOLDS  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30760TX
21223G0001XGeneral Practice Dentistry011715GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093897043
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERRILYN JAMILLE REYNOLDS D.D.S.
Provider Business Mailing Address
First Line : 3402 HIGHWAY 6 S STE C
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4207
Country : US
Telephone Number : 281-759-5900
Fax Number : 281-759-5900
Provider Business Practice Location Address
First Line : 3402 HIGHWAY 6 S STE C
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4207
Country : US
Telephone Number : 281-759-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 01/03/2025

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Directions to “ DR. TERRILYN JAMILLE REYNOLDS D.D.S.” Practice Location

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