| Reddix Dental Clinic, Inc. | |
|
1201 Powell St Monroe LA 71203-5342 | |
| (318) 322-6360 | |
| (318) 361-3788 |
| Full Name | Reddix Dental Clinic, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1201 Powell St, Monroe, Louisiana |
| Authorized Official Name and Position | Ollibeth Reddix (DIRECTOR) |
| Authorized Official Contact | 3183226360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reddix Dental Clinic, Inc. 1201 Powell St Monroe LA 71203-5342 Ph: (318) 322-6360 | Reddix Dental Clinic, Inc. 1201 Powell St Monroe LA 71203-5342 Ph: (318) 322-6360 |
| NPI Number | 1316145782 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316145782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3496 (Louisiana) | Primary |
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