# REDDIX DENTAL CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316145782
- **Authorized official:** DR. OLLIBETH REDDIX (DIRECTOR)
- **Authorized official phone:** (318) 322-6360

## Contact information

- **Practice address:** 1201 POWELL ST, MONROE, LA 71203-5342
- **Practice address phone:** (318) 322-6360
- **Practice address fax:** (318) 361-3788
- **Mailing address:** 1201 POWELL ST, MONROE, LA 71203-5342
- **Mailing address phone:** (318) 322-6360
- **Mailing address fax:** (318) 361-3788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3496 | LA | Yes |

## Other

- **Enumeration date:** 07/06/2007
- **Last updated:** 08/22/2020