DR. JACK HOLMES REID JR. (NPI# 1407043797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407043797 |
| Entity Type | Individual |
| Full Name | DR. JACK HOLMES REID JR. |
| Practice Address |
911 Plantation Blvd Fairhope AL 36532-2949 |
| Practice Telephone | 2519289331 |
| Mailing Telephone | 2519289331 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3625 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968262 | Jack R Reid Jr. | Internal Medicine | 5000 Odonavan Blvd Ste 307, Walker, LA 70785-6355 | 2005-08-03 |
| 1639736093 | Jack Reid | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2019-05-21 |
| 1811394364 | Jack Reid | Counselor | 110 Gough St, Suite 202, San Francisco, CA 94102-5945 | 2014-11-28 |
| Street Address |
911 PLANTATION BLVD |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489709 | Kevin M. Sims, Dmd, Ms, PC | Dentist | 2074 Valleydale Rd, Hoover, AL 35244-2084 | 2020-05-21 |
| 1619599297 | Alabama Dental Specialist LLC | Dentist | 4501 Southlake Pkwy Ste 201, Hoover, AL 35244-3644 | 2020-05-18 |
| 1467964544 | Jamie Hargett Howard | Dentist | 418 School of Dentistry Building, 1919 7th Ave S, Birmingham, AL 35233 | 2017-10-30 |
| 1770028532 | George Britt | Dentist | 5104 Cyrus Cir, Birmingham, AL 35242-4630 | 2017-01-03 |
| 1568660231 | Scott Edmund Atkinson | Dentist | 621 Helen Keller Blvd Ste 200, Tuscaloosa, AL 35404-2962 | 2007-07-04 |
| 1396947818 | Maria L Geisinger | Dentist | 121 Peachtree Rd, Birmingham, AL 35213-2930 | 2007-06-05 |
| 1790812030 | John M. Lane | Dentist | 1912 Bruin Dr, Florence, AL 35630-6769 | 2007-02-27 |
| 1134280712 | Brett Maddux | Dentist | 3240 Edwards Lake Pkwy Ste 200, Birmingham, AL 35235-3128 | 2006-12-13 |
| 1154489409 | George N Britt Dmd Pa | Dentist | 5104 Cyrus Circle, Birmingham, AL 35242 | 2006-12-05 |
| 1316005267 | Kent Gilmore Palcanis | Dentist | 1919 7th Ave S Sdb Box 58 1, Birmingham, AL 35294 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACK HOLMES REID JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.