DR. JACK J. REYNOLDS JR. (NPI# 1295825123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295825123 |
| Entity Type | Individual |
| Full Name | DR. JACK J. REYNOLDS JR. |
| Credential | DDS |
| Practice Address |
1002 Oak Dr Richmond IN 47374-1916 |
| Practice Telephone | 7659667602 |
| Practice Fax Number | 7659621066 |
| Mailing Telephone | 7659667602 |
| Mailing Fax Number | 7659621066 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12007171A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942651880 | Jack Thomas Reynolds | Dentist | 4100 Ne Vivion Rd, Kansas City, MO 64119-2811 | 2016-06-22 |
| 1972852879 | Jack Reynolds | Licensed Vocational Nurse | 194 Via Baja, Ventura, CA 93003-1240 | 2012-09-06 |
| 1871818120 | Jack Edward Reynolds | Counselor | 5604 Timber Ln, Oklahoma City, OK 73111-6877 | 2010-03-30 |
| Street Address |
1002 OAK DR |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932569415 | Jack J. Reynolds Jr. D.d.s., LLC | Dentist | 1002 Oak Dr, Richmond, IN 47374-1916 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578115275 | H&a Orthodontics | Dentist | 16733 W Airport Blvd, Building A, Suite 2, Richmond, TX 77407 | 2019-07-12 |
| 1528627916 | Petite Smiles Pediatric Dentistry, Pllc | Dentist | 11131 Harlem Rd, Suite 120, Richmond, TX 77406 | 2019-06-10 |
| 1144627555 | David W Merrell Dds Msd Plc | Dentist | 12205 Gayton Road, Suite A, Richmond, VA 23238-3212 | 2014-12-01 |
| 1356559777 | Jeffrey Lucas Bowen | Dentist | 120 Meridian Way, Suite 2, Richmond, KY 40475 | 2007-05-18 |
| 1396890927 | Rhonda H. Cormney | Dentist | 519 Hampton Way Ste 1, Richmond, KY 40475-8885 | 2007-01-24 |
| 1548334071 | William O Dahlke Jr. | Dentist | 521 N 11th St Ste 305, Richmond, VA 23298 | 2006-11-17 |
| 1619054939 | James M Keeton Jr. | Dentist | 7410 Hull Street Rd, Richmond, VA 23235-5834 | 2006-11-01 |
| 1861597718 | Hayden R. Phillips | Dentist | 1012 Ival James Blvd, C, Richmond, KY 40475-8174 | 2006-09-14 |
| 1093819013 | Jeffrey Patrick Blair | Dentist | 12205 Gayton Rd, Richmond, VA 23238-3219 | 2006-09-11 |
| 1548371495 | Kathryn Martinez Roberts | Dentist | 4025 Mechanicsville Turnpike, Richmond, VA 23223 | 2006-08-31 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.