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

Individual provider Periodontics · NPI 1407043797

Dr. Jack Holmes Reid Jr. is a Periodontics in Fairhope, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2007
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Practice location Address checks out

911 Plantation Blvd
Fairhope, AL 36532-2949
Phone: (251) 928-9331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 3625 (AL)

Record details

NPI number1407043797
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2007
Last updated in NPPESOctober 1, 2007