Jack J. Reynolds Jr. D.d.s., Llc is a Pediatric Dental Clinic in Richmond, Indiana. It is located at 1002 Oak Dr, Richmond, IN and its contact number is 765-966-7602. The authorized person for Jack J. Reynolds Jr. D.d.s., Llc is Dr. Jack J. Reynolds Jr.
who is Owner of the clinic and their contact number is 765-966-7602. The primary license number for Jack J. Reynolds Jr. D.d.s., Llc is 12007171A (Pediatric Dentistry) in Indiana.
Jack J. Reynolds Jr. D.d.s., Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Jack J. Reynolds Jr. D.d.s., Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jack J. Reynolds Jr. D.d.s., Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1002 Oak Dr, Richmond,
Indiana, 47374-1916 |
| Phone: | 765-966-7602 |
| Fax: | 765-962-1066 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jack J. Reynolds Jr. |
| Position: | Owner |
| Contact Number: | 765-966-7602 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jack J. Reynolds Jr. D.d.s., Llc clinic are as mentioned below.
| NPI Number: | 1932569415 |
| NPI Enumeration Date: | 26 Feb, 2016 |
| NPI Last Update On: | 26 Feb, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack J. Reynolds Jr. D.d.s., Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 12007171A | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100255900 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jack J. Reynolds Jr. D.d.s., Llc
1002 Oak Dr,
Richmond, Indiana |
| Zip: | 47374-1916 |
| Phone Number: | 765-966-7602 |
| Fax Number: | 765-962-1066 |
Patients can reach Jack J. Reynolds Jr. D.d.s., Llc at
1002 Oak Dr, Richmond, Indiana or can
call to book an appointment on 765-966-7602.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.