DR. JACOB DANIEL REYNOLDS
NPI 1710679386
Dentist - General Practice in Slc, UT

Active since May 23, 2023

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, May 23, 2023 (2 updates tracked since 2023).

About Dr. Jacob Daniel Reynolds NPPES

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

DR. JACOB DANIEL REYNOLDS (NPI 1710679386) is an individual general practice provider in Slc, Utah, licensed in Utah (13403126-9923) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1710679386
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACOB DANIEL REYNOLDS
Location Address2090 E 2100 SSlc, UT 84109-1152
Mailing Address2341 E John Holladay CtHolladay, UT 84117-4628 · (801) 608-5664
Sole ProprietorNo
Enumeration DateMay 23, 2023
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1710679386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 13403126-9923
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2090 E 2100 S, Slc, UT 84109

Accepted Insurance

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.

Dentist
2090 E 2100 S
SALT LAKE CITY, UT 84109
Dentist (General Practice)
2090 E 2100 S
SALT LAKE CITY, UT 84109

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 Jacob Reynolds's NPI number?

The NPI number for Jacob Reynolds is 1710679386. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Jacob Reynolds located?

Jacob Reynolds practices at 2090 E 2100 S, Slc, UT 84109. The listed phone number is (801) 486-1155.

What is Jacob Reynolds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jacob Reynolds accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jacob Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Reynolds was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.