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

Dr. Jack Thomas Reynolds, DDS

Individual provider General Practice Dentistry · NPI 1942651880

Dr. Jack Thomas Reynolds, DDS is a General Practice Dentistry in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4100 NE Vivion Rd
Kansas City, MO 64119-2811
Phone: (816) 454-6443
Fax: (816) 454-3145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2016016886 (MO)

Record details

NPI number1942651880
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 22, 2016
Last updated in NPPESJune 22, 2016

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