Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roger N Reynolds 111 DDS MS PA

Organization Dental Clinic/Center · NPI 1801053475

Roger N Reynolds 111 DDS MS PA is a Dental Clinic/Center in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3809 Forrestgate Dr Ste A
Winston Salem, NC 27103-2982
Phone: (336) 768-9010
Fax: (336) 768-9011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 3599 (NC)

Record details

NPI number1801053475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Reynolds — President · (336) 768-9010
NPI enumeratedMay 20, 2008
Last updated in NPPESMay 20, 2008
Mailing address3809 Forrestgate Dr, Suite A, Winston Salem, NC 27103-2982

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