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JACK J. REYNOLDS JR. D.D.S., LLC
NPI 1932569415
Dentist - Pediatric Dentistry in Richmond, IN

Active since February 26, 2016
1002 OAK DR, RICHMOND, IN 47374(765) 966-7602(765) 962-1066 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack J. Reynolds Jr. D.d.s., Llc NPPES

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

JACK J. REYNOLDS JR. D.D.S., LLC (NPI 1932569415) is a healthcare organization registered as a pediatric dentistry in Richmond, Indiana and active in the NPI registry since February 2016. The organization lists Jack J. Reynolds, Owner, as its authorized official.

NPPES Registry Identity

NPI1932569415
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJACK J. REYNOLDS JR. D.D.S., LLC
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
Organization SubpartNo
Authorized OfficialJack J. ReynoldsOwner · (765) 966-7602
Enumeration DateFebruary 26, 2016
✔ NPI 1932569415 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 Identifiers 1

Medicaid100255900IN

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 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. JACK J. REYNOLDS JR. DDS
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 J. Reynolds Jr. D.D.S., LLC's NPI number?

The NPI number for Jack J. Reynolds Jr. D.D.S., LLC is 1932569415. It was assigned to this organization in the NPPES registry on February 26, 2016.

Where is Jack J. Reynolds Jr. D.D.S., LLC located?

Jack J. Reynolds Jr. D.D.S., LLC is located at 1002 Oak Dr, Richmond, IN 47374. The listed phone number is (765) 966-7602.

What is Jack J. Reynolds Jr. D.D.S., LLC'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 J. Reynolds Jr. D.D.S., LLC was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.