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ROGER N REYNOLDS 111 DDS MS PA
NPI 1801053475
Clinic/Center - Dental in Winston Salem, NC

Active since May 20, 2008
3809 FORRESTGATE DR, SUITE A, WINSTON SALEM, NC 27103(336) 768-9010(336) 768-9011 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roger N Reynolds 111 Dds Ms Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER N REYNOLDS 111 DDS MS PA (NPI 1801053475) is a healthcare organization registered as a dental in Winston Salem, North Carolina and active in the NPI registry since May 2008. The organization lists Roger Nixon Reynolds, President, as its authorized official.

NPPES Registry Identity

NPI1801053475
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameROGER N REYNOLDS 111 DDS MS PA
Location Address3809 FORRESTGATE DR, SUITE AWinston Salem, NC 27103-2982
Mailing Address3809 Forrestgate Dr, Suite AWinston Salem, NC 27103-2982 · (336) 768-9010 · Fax (336) 768-9011
Phone(336) 768-9010
Fax(336) 768-9011
Organization SubpartNo
Authorized OfficialRoger Nixon ReynoldsPresident · (336) 768-9010
Enumeration DateMay 20, 2008
✔ NPI 1801053475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NC · 3599
3809 FORRESTGATE DR, Winston Salem, NC 27103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger N Reynolds 111 Dds Ms PA's NPI number?

The NPI number for Roger N Reynolds 111 Dds Ms PA is 1801053475. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is Roger N Reynolds 111 Dds Ms PA located?

Roger N Reynolds 111 Dds Ms PA is located at 3809 Forrestgate Dr Suite A, Winston Salem, NC 27103. The listed phone number is (336) 768-9010.

What is Roger N Reynolds 111 Dds Ms PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Roger N Reynolds 111 Dds Ms PA was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.