# GREGORY D. REDDISH DMD PA

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

## Provider details

- **NPI number:** 1417177064
- **Authorized official:** GREGORY DOLPH REDDISH DMD (DENTIST)
- **Authorized official phone:** (407) 897-3406

## Contact information

- **Practice address:** 1414 E MICHIGAN ST, ORLANDO, FL 32806-4817
- **Practice address phone:** (407) 897-3406
- **Mailing address:** 1414 E MICHIGAN ST, ORLANDO, FL 32806-4817
- **Mailing address phone:** (407) 897-3406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8600 | FL | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 09/06/2023