Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK HOLMES REID JR.
Active Sole ProprietorDR. JACK HOLMES REID JR. is a Periodontology healthcare provider located in FAIRHOPE, Alabama. NPI 1407043797 is currently active in the NPPES registry. Verify at CMS.
Periodontology · FAIRHOPE, AL
Registration Details
- NPI Number
- 1407043797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2007 (18.889938461293 yrs)
- Last Updated
- Oct 1, 2007
- License
-
3625 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
911 PLANTATION BLVDFAIRHOPE, AL, 365322949Browse AL providers · Browse ZIP 36532
- Phone
- 2519289331
- Primary Specialty
-
Periodontology
1223P0300X
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.