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Jack J. Reynolds Jr. D.d.s., Llc
Pediatric Dentist in Richmond, Indiana
NPI 1932569415

Jack J. Reynolds Jr. D.d.s., Llc is a Pediatric Dentist based in Richmond, IN and is specialized in Pediatric Dentistry. Jack J. Reynolds Jr. D.d.s., Llc practices in Richmond, IN. The NPI Number for Jack J. Reynolds Jr. D.d.s., Llc is 1932569415 and holds a License No. 12007171A (Indiana).

The current practice location address for Jack J. Reynolds Jr. D.d.s., Llc is 1002 Oak Dr, Richmond, IN and can be reached out via phone at 765-966-7602 and via fax at 765-962-1066.

Location: 1002 Oak Dr, Richmond, IN, 47374-1916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932569415
Provider Name
Jack J. Reynolds Jr. D.d.s., Llc
Credential
Provider Entity Type
Organization
Address
1002 Oak Dr, Richmond, IN, 47374-1916
Phone Number
765-966-7602
Fax Number
765-962-1066
Provider Enumeration Date
02/26/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100255900 05 IN
institution
Provider Business Practice Location Address Details
Address
1002 Oak Dr
City
Richmond
State
Indiana
Zip
47374-1916
Phone Number
765-966-7602
Fax Number
765-962-1066
person
Provider Business Mailing Address Details
Address
1002 Oak Dr
City
Richmond
State
Indiana
Zip
47374-1916
Phone Number
765-966-7602
Fax Number
765-962-1066
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12007171A (Indiana)
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.
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