Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK J. REYNOLDS JR., DDS
Active Sole ProprietorDR. JACK J. REYNOLDS JR., DDS is a Pediatric Dentistry healthcare provider located in RICHMOND, Indiana. NPI 1295825123 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · RICHMOND, IN
Registration Details
- NPI Number
- 1295825123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.879430927148 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12007171A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1002 OAK DRRICHMOND, IN, 473741916Browse IN providers · Browse ZIP 47374
- Phone
- 7659667602
- Fax
- 7659621066
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.