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Dr. Debra M Reddick

Dental Public Health Dentist - General Practice

4458 Jonesboro Rd
Forest Park , Georgia 30297-4314

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Dr. Debra M Reddick

Dental Public Health Dentist - General Practice

4458 Jonesboro Rd
Forest Park , Georgia 30297-4314

(908) 285-6051

Write a Review Save Call

Dr. Debra M Reddick

Dental Public Health Dentist - General Practice

4458 Jonesboro Rd
Forest Park , Georgia 30297-4314

(908) 285-6051 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dental Public Health
  • General Practice

Languages spoken

  • English

Location

4458 Jonesboro Rd Forest Park , Georgia 30297-4314

First Address

  • Dr. Debra M Reddick
  • 400 Players Ct
  • Mcdonough, GA
  • Zip : 30253-8810
  • Phone : (908) 285-6051

Second Address

  • Dr. Debra M Reddick
  • 4458 Jonesboro Rd
  • Forest Park, GA
  • Zip : 30297-4314
  • Phone : (470) 878-3512

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FAQs


Where did Dr. Debra M Reddick attend graduate school?

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Where did Dr. Debra M Reddick do her residency?

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Where did Dr. Debra M Reddick do her fellowship?

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Is Dr. Debra M Reddick board certified?

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What type of doctor is Dr. Debra M Reddick

Dentist - General Practice

In what state does Dr. Debra M Reddick practice in?

Georgia

Where is Dr. Debra M Reddick ’s practice located?

4458 Jonesboro Rd , Forest Park, Georgia, 30297-4314

What is Dr. Debra M Reddick ’s gender?

Female

Is Dr. Debra M Reddick a sole practitioner?

No

Is Dr. Debra M Reddick accepting new patients?

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What languages does Dr. Debra M Reddick speak?

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Does Dr. Debra M Reddick accept insurance?

Yes, Dr. Debra M Reddick accepts insurance

Does Dr. Debra M Reddick offers telemedicine?

Dr. Debra M Reddick has not indicated if she offers telemedicine

What is Dr. Debra M Reddick ’s professional license number?

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What is Dr. Debra M Reddick ’s NPI number?

1396710901

Does Dr. Debra M Reddick have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 1223D0001X Dental Public Health DN013060 GA
N 1223G0001X General Practice DN013060 GA
N 213EG0000X General Practice DN013060 GA
Y 1223G0001X General Practice DN013060 GA
Y 213EG0000X General Practice DN013060 GA

National Provider Identifier

NPI 1396710901
Provider Name Dr. Debra M Reddick
First Address Mcdonough, GA 30253-8810
Second Address Forest Park, GA 30297-4314
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/02/2006
Last Update Date 21/07/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
545055622A (05) GA
545055622B (05) GA
9180174 (05) GA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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