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Jack K. Reynolds DDS PA

Dentist in Edgewood, MD · enumerated 2008 · authorized official Sharon Reynolds Lundgren, D.D.S.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841455615

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Registry record

Entity type Organization (Type 2)
Legal business name Jack K. Reynolds DDS PA
Practice address 2104 Trimble Rd, Edgewood, MD, 21040
Fax (410) 679-4068
Enumeration date Jul 22, 2008
Last updated in NPPES Jul 22, 2008

Taxonomy & classification

122300000X Dentist Dental Providers Primary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Sharon Reynolds Lundgren
Title D.D.S

Other identifiers

Identifier Type State Issuer
817292 Other MD UNITED CONCORDIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Jack K. Reynolds DDS PA?
NPPES lists Sharon Reynolds Lundgren (D.D.S) as the authorized official for this organization.
What is the NPI number for Jack K. Reynolds DDS PA?
The NPI for Jack K. Reynolds DDS PA is 1841455615, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-22.