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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.