Healthcare Provider Details

I. General information

NPI: 1437707197
Provider Name (Legal Business Name): JOHN ZACHARY REYNOLDS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7715 GALL BLVD
ZEPHYRHILLS FL
33541-4315
US

IV. Provider business mailing address

7715 GALL BLVD
ZEPHYRHILLS FL
33541-4315
US

V. Phone/Fax

Practice location:
  • Phone: 813-782-4200
  • Fax:
Mailing address:
  • Phone: 813-782-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN24512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: