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JACK K. REYNOLDS DDS PA
NPI 1841455615
Dentist in Edgewood, MD

Active since July 22, 2008
2104 TRIMBLE RD, EDGEWOOD, MD 21040(410) 676-5252(410) 679-4068 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack K. Reynolds Dds Pa NPPES

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

JACK K. REYNOLDS DDS PA (NPI 1841455615) is a healthcare organization registered as a dentist in Edgewood, Maryland and active in the NPI registry since July 2008. The organization lists Sharon Elaine Reynolds Lundgren, D.d.s, as its authorized official.

NPPES Registry Identity

NPI1841455615
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJACK K. REYNOLDS DDS PA
Location Address2104 TRIMBLE RDEdgewood, MD 21040-3126
Mailing AddressPo Box 696Edgewood, MD 21040-0696 · (410) 676-5252 · Fax (410) 679-4068
Phone(410) 676-5252
Fax(410) 679-4068
Organization SubpartNo
Authorized OfficialSharon Elaine Reynolds LundgrenD.d.s · (410) 676-5252
Enumeration DateJuly 22, 2008
✔ NPI 1841455615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
2104 TRIMBLE RD, Edgewood, MD 21040
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Other Identifiers 1

Other817292MD · United Concordia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

DR. SHARON ELAINE REYNOLDS LUNDGREN D.D.S.
Dentist (General Practice)
2104 TRIMBLE RD
EDGEWOOD, MD 21040
Harford County (410) 676-5252
E OLAYEMI DMD LLC
Clinic/Center (Dental)
2104 TRIMBLE RD
EDGEWOOD, MD 21040
Harford County (410) 676-5252

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 K. Reynolds Dds PA's NPI number?

The NPI number for Jack K. Reynolds Dds PA is 1841455615. It was assigned to this organization in the NPPES registry on July 22, 2008.

Where is Jack K. Reynolds Dds PA located?

Jack K. Reynolds Dds PA is located at 2104 Trimble Rd, Edgewood, MD 21040. The listed phone number is (410) 676-5252.

What is Jack K. Reynolds Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jack K. Reynolds Dds PA was last updated on July 22, 2008. 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.