OrganizationActive
Jack K. Reynolds DDS PA
NPI 1841455615 · Dentist · Edgewood, MD
Jack K. Reynolds DDS PA is a Dentist organization in Edgewood, MD (NPI 1841455615).
Provider details
- NPI number
- 1841455615
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sharon Reynolds Lundgren, D.D.S(410) 676-5252
Specialties & taxonomies
Dental Providers
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2104 Trimble Rd
Edgewood, MD 21040-3126
Phone: (410) 676-5252
Fax: (410) 679-4068
Street-level locationGet directions
Mailing address
Po Box 696
Edgewood, MD 21040-0696
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2008-07-22
Frequently asked questions
- What is Jack K. Reynolds DDS PA's NPI number?
- Jack K. Reynolds DDS PA's National Provider Identifier (NPI) is 1841455615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack K. Reynolds DDS PA?
- Jack K. Reynolds DDS PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jack K. Reynolds DDS PA located?
- Jack K. Reynolds DDS PA's practice location on file with NPPES is 2104 Trimble Rd, Edgewood, MD 21040-3126.
- What is Jack K. Reynolds DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Jack K. Reynolds DDS PA is (410) 676-5252.
- Who is the authorized official for Jack K. Reynolds DDS PA?
- The authorized official listed on Jack K. Reynolds DDS PA's NPPES record is Sharon Reynolds Lundgren, D.D.S. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack K. Reynolds DDS PA's NPI active?
- Yes — Jack K. Reynolds DDS PA's NPI (1841455615) is active in the NPPES registry as of the last update on 2008-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.