Dr. Likith V Reddy
Oral & Maxillofacial Surgeon
3302 Gaston Ave Rm #161
Dallas
, Texas 75246-2013
Dr. Likith V Reddy
Oral & Maxillofacial Surgeon
3302 Gaston Ave Rm #161
Dallas
, Texas 75246-2013
(214) 874-4527
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Likith V Reddy
- Po Box 660677 Rm 177
- Dallas, TX
- Zip : 75266-0677
- Fax : (214) 874-4527
- Phone : (214) 828-8455
Second Address
- Dr. Likith V Reddy
- 3302 Gaston Ave Rm #161
- Dallas, TX
- Zip : 75246-2013
- Fax : (214) 828-8382
- Phone : (214) 828-8455
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | Q0158 | TX |
National Provider Identifier
| NPI | 1104887645 |
|---|---|
| Provider Name | Dr. Likith V Reddy |
| First Address | Dallas, TX 75266-0677 |
| Second Address | Dallas, TX 75246-2013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 07/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2414097 | (05) | OH |
| 2554294 | (05) | OH |
| H93214 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.