Active NPIIndividual provider

Dr. Audra B Reynoso, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Lawrence, Massachusetts

NPI Number1235542903
Practice location
100 Amesbury St, Suite 110, Lawrence, MA 01840-1321
Fax
—
Last updated
July 11, 2016

Audra Buckley Reynoso is a Dentist, Orthodontics and Dentofacial Orthopedics based in Lawrence, MA. Audra Buckley Reynoso practices in Lawrence, MA and has the professional credentials of DMD. The NPI Number for Audra Buckley Reynoso is 1235542903 and holds a License No. DN1856601 (MA). The current practice location address for Audra Buckley Reynoso is 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 and can be reached out via phone at 978-686-3838.

Provider Profile Details

NPI Number
1235542903
Provider Name
Audra Buckley Reynoso
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
100 Amesbury St, Suite 110, Lawrence, MA 01840-1321
Phone Number
978-686-3838
Sole Proprietor
No
Other Names
-- Audra Leah Buckley, DMD (Former Name)
Provider Enumeration Date
June 10, 2014
Last Update Date
July 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Amesbury St
Suite 110
Lawrence, MA 01840-1321
Zip
01840-1321
Phone Number
978-686-3838
Lawrence, MA 01840Get directions →

Provider Business Mailing Address Details

Address
809 E 4TH St
Unit 3
Boston, MA 02127-3242
City
Boston
State
MA
Zip
02127-3242
Phone Number
781-258-5127

License Information

License Number
DN1856601
License State
MA
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Audra B Reynoso, DMD?

The NPI number of Dr. Audra B Reynoso, DMD is 1235542903. It was assigned on June 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Audra B Reynoso, DMD?

Dr. Audra B Reynoso, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number DN1856601.

Where does Dr. Audra B Reynoso, DMD practice?

The practice location is 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321. The office can be reached at 978-686-3838 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235542903 directly on the NPPES registry website.

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