Reddicks, Jeffery Edwin
Reddicks, Jeffery Edwin is an individual health care provider with primary practice located at 7095 Sw Gonzaga St , Tigard OR 97223-8309. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Reddicks, Jeffery Edwin can be contacted via phone (503) 620-6715.Contact Information
Primary practice address
7095 Sw Gonzaga St
Tigard OR 97223-8309
Phone: (503) 620-6715
Fax: (503) 620-8259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D6775 | Oregon |
Profile Details
| NPI number | 1912072067 |
|---|---|
| LBN Legal business name | Reddicks, Jeffery Edwin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jun 1st, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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