Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE MARIE REDDOUT, DMD
ActiveDR. NICOLE MARIE REDDOUT, DMD is a Oral & Maxillofacial Surgery healthcare provider located in NORFOLK, Virginia. NPI 1790001436 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · NORFOLK, VA
Registration Details
- NPI Number
- 1790001436
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2010 (16.303784136537 yrs)
- Last Updated
- Jan 30, 2017
- Licenses
-
0438000368 (VA)0401415421 (VA)
Practice Information
- Address
-
1647 ADMIRAL TAUSSIG BLVDNORFOLK, VA, 235112803Browse VA providers · Browse ZIP 23511
- Phone
- 7579538605
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Dentist
Other Oral & Maxillofacial Surgery Providers in NORFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES ELLIS KROCHMAL | DDS | 1770583551 |
| DR. JOHN WILLIAM KIRBY | DMD | 1962404939 |
| DR. MARK ANTHONY LARUSSO | D.D.S. | 1558358960 |
| DR. DAVID ANTHONY BITONTI | D.M.D. | 1902885668 |
| DR. JAMES HENRY GHERARDINI JR. | DDS | 1639142441 |
| MICHAEL M CARSON SR. | DMD | 1114958410 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.