Jack Holmes Reid Jr.

Periodontics · Fairhope, AL

Individual Active NPI

NPI number 1407043797

Practice location

911 Plantation Blvd
Fairhope, AL 36532-2949

Phone: (251) 928-9331

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NPI record

NPI: 1407043797
Entity type: Individual (Type 1)
Enumeration date: October 1, 2007
Last updated: October 1, 2007
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Periodontics Primary	`1223P0300X`	3625	AL

About Jack Reid

Jack Holmes Reid Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 911 Plantation Blvd, Fairhope, AL 36532-2949. The NPI number 1407043797 was assigned on October 1, 2007 and the record was last updated on October 1, 2007.

Jack Reid lists a license in the registry: #3625 (AL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Holmes Reid Jr.?

The NPI number is 1407043797.

What is the phone number of Jack Reid?

The phone number listed for the practice location is (251) 928-9331.

Where is Jack Reid located?

911 Plantation Blvd, Fairhope, AL 36532-2949.

What is the taxonomy code for Jack Reid?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.