DR. JACK HOLMES REID JR.
NPI 1407043797
Dentist - Periodontics in Fairhope, AL

Q: What is Jack Reid's NPI number?

The NPI number for Jack Reid is 1407043797. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Q: What is Jack Reid's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Jack Reid was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 01, 2007

911 PLANTATION BLVD, FAIRHOPE, AL 36532(251) 928-9331 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Holmes Reid Jr. NPPES

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

DR. JACK HOLMES REID JR. (NPI 1407043797) is an individual periodontics provider in Fairhope, Alabama, licensed in Alabama (3625) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1407043797

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JACK HOLMES REID JR.

Location Address911 PLANTATION BLVDFairhope, AL 36532-2949

Mailing Address911 Plantation BlvdFairhope, AL 36532-2949 · (251) 928-9331

Phone(251) 928-9331

Sole ProprietorYes

Enumeration DateOctober 1, 2007

✔ NPI 1407043797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in AL · 3625

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

911 PLANTATION BLVD, Fairhope, AL 36532

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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.

MRS. REMONICA THURMOND PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

911 PLANTATION BLVD
FAIRHOPE, AL 36532

Baldwin County (877) 850-7236

ASCENDIA WELLNESS CARE

Nurse Practitioner (Psychiatric/Mental Health)

911 PLANTATION BLVD
FAIRHOPE, AL 36532

Baldwin County (877) 852-7236

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 Reid's NPI number?

The NPI number for Jack Reid is 1407043797. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Jack Reid located?

Jack Reid practices at 911 Plantation Blvd, Fairhope, AL 36532. The listed phone number is (251) 928-9331.

What is Jack Reid's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jack Reid was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.