Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891468641 Individual Practitioner Male Practitioner

Dr. Juan Camilo Reynolds , DDS

Dentist - General Practice • Midvale, UT

Professional Overview & Biography Verified Profile Summary

Dr. Juan Reynolds, DDS is a registered healthcare professional specializing in Dentist - General Practice in Midvale, UT. Practice services are available at 49 W CENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

49 W Center St

Midvale, UT 840477364

Telephone 3858879002

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Midvale, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
22 Specialists

Practicing in Midvale, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 12322159-9923

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Isabella Augustine , DMD

Dentist - General Practice

NPI 1053119735

Doctor of Dental Medicine

NPI 1497693451

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2021

Registered at 49 W CENTER ST, MIDVALE, UT 840477364 (Tel: 3858879002)

📍
Updated Business Mailing Address July 28, 2021

Registered at 650 W SOUTH TEMPLE APT C108, SALT LAKE CITY, UT 841041041 (Tel: 9189071335)

👤
Provider Name / Credentials Updated July 28, 2021

Recorded as JUAN REYNOLDS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2021

Dentist (License #12322159-9923 in UT)

🟢
Initial NPI Registration & Enumeration July 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891468641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2021
Last Update: July 28, 2021
Sole Proprietor: Yes

Mailing Address

650 W South Temple Apt C108

Salt Lake City, UT 841041041

Phone: 9189071335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.