Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack J. Reynolds Jr DDS, LLC

Organization Pediatric Dentistry · NPI 1932569415

Jack J. Reynolds Jr DDS, LLC is a Pediatric Dentistry in Richmond, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1002 Oak Dr
Richmond, IN 47374-1916
Phone: (765) 966-7602
Fax: (765) 962-1066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12007171A (IN)

Record details

NPI number1932569415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Reynolds — Owner · (765) 966-7602
NPI enumeratedFebruary 26, 2016
Last updated in NPPESFebruary 26, 2016
Mailing address1002 Oak Dr, Richmond, IN 47374-1916

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