Debra M. Reddick, D.D.S

General Practice Dentistry · Forest Park, GA

Individual Active NPI

NPI number 1396710901

Practice location

4458 Jonesboro Rd
Forest Park, GA 30297-4314
Phone
(470) 878-3512

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NPI record

NPI
1396710901
Entity type
Individual (Type 1)
Enumeration date
February 18, 2006
Last updated
July 21, 2021
Certified
July 21, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013060 GA
Public Health Dentistry 1223D0001X DN013060 GA
General Practice Dentistry 1223G0001X DN013060 GA

Mailing address

400 Players Ct
McDonough, GA 30253-8810
Phone
(908) 285-6051

About Dr. Reddick

Debra M. Reddick, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4458 Jonesboro Rd, Forest Park, GA 30297-4314. The NPI number 1396710901 was assigned on February 18, 2006 and the record was last updated on July 21, 2021.

Dr. Reddick lists 3 licenses in the registry: #DN013060 (GA) for General Practice Dentistry; #DN013060 (GA) for Public Health Dentistry; #DN013060 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Debra M. Reddick, D.D.S?

The NPI number is 1396710901.

What is the phone number of Dr. Reddick?

The phone number listed for the practice location is (470) 878-3512.

Where is Dr. Reddick located?

4458 Jonesboro Rd, Forest Park, GA 30297-4314.

What is the taxonomy code for Dr. Reddick?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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