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DR. JACK J. REYNOLDS JR. DDS
NPI 1295825123
Dentist - Pediatric Dentistry in Richmond, IN

Active since October 13, 2006
1002 OAK DR, RICHMOND, IN 47374(765) 966-7602(765) 962-1066 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack J. Reynolds Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK J. REYNOLDS JR. DDS (NPI 1295825123) is an individual pediatric dentistry provider in Richmond, Indiana, licensed in Indiana (12007171A) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1295825123
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JACK J. REYNOLDS JR.Credential: DDS
Location Address1002 OAK DRRichmond, IN 47374-1916
Mailing Address1002 Oak DrRichmond, IN 47374-1916 · (765) 966-7602 · Fax (765) 962-1066
Phone(765) 966-7602
Fax(765) 962-1066
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295825123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 12007171A
Definition
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.
1002 OAK DR, Richmond, IN 47374
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK J. REYNOLDS JR. D.D.S., LLC
Dentist (Pediatric Dentistry)
1002 OAK DR
RICHMOND, IN 47374
Wayne County (765) 966-7602
DR. JENNIFER MARIE CRIST D.D.S.
Dentist
1002 OAK DR
RICHMOND, IN 47374
Wayne County (765) 373-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Reynolds's NPI number?

The NPI number for Jack Reynolds is 1295825123. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Jack Reynolds located?

Jack Reynolds practices at 1002 Oak Dr, Richmond, IN 47374. The listed phone number is (765) 966-7602.

What is Jack Reynolds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jack Reynolds was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.