DR. NICOLE REDDOUT, DMD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1790001436
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 0438000368 (VA) |
| Dentist | 122300000X | No | 0401415421 (VA) |
Frequently Asked Questions
NPI 1790001436 is the National Provider Identifier for DR. NICOLE REDDOUT, DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Norfolk, VA. This NPI was enumerated on April 19, 2010.
DR. NICOLE REDDOUT, DMD practices at 1647 ADMIRAL TAUSSIG BLVD, Norfolk, VA 23511.
Quick Facts
- NPI
- 1790001436
- Type
- Individual
- Enumerated
- Apr 19, 2010
- Last Updated
- Jan 30, 2017
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