Reddout, Nicole Marie

Reddout, Nicole Marie is an individual health care provider with primary practice located at 1647 Admiral Taussig Blvd , Norfolk VA 23511-2803. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Reddout, Nicole Marie can be contacted via phone (757) 953-8605.

Contact Information

Primary practice address
1647 Admiral Taussig Blvd Norfolk VA 23511-2803
Phone: (757) 953-8605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0438000368 Virginia
Dental Providers / Dentist 122300000X 0401415421 Virginia

Profile Details

NPI number 1790001436
LBN Legal business name Reddout, Nicole Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2010
Last updated Jan 30th, 2017 - about 8 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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