DR. Jeffery Edwin Reddicks, DMD is an oral and maxillofacial surgery dentist in Tigard, OR. 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. Jeffery Edwin Reddicks, DMD NPI is 1912072067. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7095 SW GONZAGA ST
TIGARD, OR
ZIP 97223-309
Phone: (503) 620-6715
Fax: (503) 620-8259
The NPI 1912072067 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).
The enumeration date for this NPI number is 11/22/2006 and was last updated on 6/1/2015.