Nicole Rochelle Redd
Dental Assistant
1044 E Lincoln Ave
Sapulpa
, Oklahoma 74066-4505
Nicole Rochelle Redd
Dental Assistant
1044 E Lincoln Ave
Sapulpa
, Oklahoma 74066-4505
(918) 812-6044
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Nicole Rochelle Redd
- 242 E 27th Pl N
- Tulsa, OK
- Zip : 74106-2316
- Phone : (918) 812-6044
Second Address
- Nicole Rochelle Redd
- 1044 E Lincoln Ave
- Sapulpa, OK
- Zip : 74066-4505
- Phone : (918) 224-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 21077 | OK |
National Provider Identifier
| NPI | 1306145701 |
|---|---|
| Provider Name | Nicole Rochelle Redd |
| First Address | Tulsa, OK 74106-2316 |
| Second Address | Sapulpa, OK 74066-4505 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2011 |
| Last Update Date | 24/03/2011 |
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.