Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710679386 Individual Practitioner Male Practitioner

Jacob Daniel Reynolds

Dentist - General Practice • Slc, UT

Professional Overview & Biography Verified Profile Summary

Jacob Reynolds is a registered healthcare professional specializing in Dentist - General Practice in Slc, UT. Practice services are available at 2090 E 2100 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2090 E 2100 S

Slc, UT 841091152

Telephone 8014861155

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Slc, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Slc, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 13403126-9923

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1629830286

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 23, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 23, 2023

Registered at 2090 E 2100 S, SLC, UT 841091152 (Tel: 8014861155)

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Updated Business Mailing Address May 23, 2023

Registered at 2341 E JOHN HOLLADAY CT, HOLLADAY, UT 841174628 (Tel: 8016085664)

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Provider Name / Credentials Updated May 23, 2023

Recorded as JACOB REYNOLDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2023

Dentist (License #13403126-9923 in UT)

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Initial NPI Registration & Enumeration May 23, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710679386
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2023
Last Update: September 04, 2024
Sole Proprietor: No

Mailing Address

2341 E John Holladay Ct

Holladay, UT 841174628

Phone: 8016085664

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.