DR. Nicole Marie Reddout, DMD is an oral and maxillofacial surgery dentist in Norfolk, VA with 14 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Nicole Marie Reddout, DMD NPI is 1790001436. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA
ZIP 23511-803
Phone: (757) 953-8605
The NPI 1790001436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/19/2010 and was last updated on 1/30/2017.