IndividualActive
Logan Reynolds, DDS
NPI 1417518234 · General Practice Dentistry · Bryan, TX
Provider details
- NPI number
- 1417518234
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35367 (TX)
Specialties & taxonomies
Dental Providers
Practice location
910 N Earl Rudder Fwy Ste 100
Bryan, TX 77802-2930
Phone: (979) 774-9999
Fax: (979) 774-9991
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Brougham Pl
College Station, TX 77845-5086
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2019-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.