| Lee Redditt Dmd, Pllc | |
|
5721 Highway 90 Ste A Theodore AL 36582-3601 | |
| (251) 653-1242 | |
| (251) 653-1242 |
| Full Name | Lee Redditt Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5721 Highway 90 Ste A, Theodore, Alabama |
| Authorized Official Name and Position | Melissa G Underwood (OFFICE MANAGER) |
| Authorized Official Contact | 2516531300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Redditt Dmd, Pllc 5721 Highway 90 Ste A Theodore AL 36582-3601 Ph: (251) 653-1242 | Lee Redditt Dmd, Pllc 5721 Highway 90 Ste A Theodore AL 36582-3601 Ph: (251) 653-1242 |
| NPI Number | 1164096749 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164096749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bradford B. Liles, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5721 Highway 90 Ste A, Theodore, AL 36582 Phone: 251-653-1300 Fax: 251-653-1242 |