MEDICARE: DR. MARIS JOSEPHINE REYNOLDS DDS

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
1	1223G0001X	General Practice Dentistry	11449	TX
2	183500000X	Pharmacist	17992	TX

General Provider Information

NPI Number	:	1952374274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIS JOSEPHINE REYNOLDS DDS

Provider Business Mailing Address
First Line	:	2260 FM 1092
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1802
Country	:	US
Telephone Number	:	281-499-8340
Fax Number	:	281-499-7496

Provider Business Practice Location Address
First Line	:	2260 FM 1092
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1802
Country	:	US
Telephone Number	:	281-499-8340
Fax Number	:	281-499-7496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. MARIS JOSEPHINE REYNOLDS DDS” Practice Location

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