# RICHARD REDDING DDS PA

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

## Provider details

- **NPI number:** 1871609107
- **Authorized official:** DR. CALEB RICHARD REDDING DDS (PRESIDENT OWNER)
- **Authorized official phone:** (336) 274-8386

## Contact information

- **Practice address:** 1011 W FRIENDLY AVENUE, GREENSBORO, NC 27401
- **Practice address phone:** (336) 274-8386
- **Practice address fax:** (336) 274-8375
- **Mailing address:** 1011 WEST FRIENDLY AVENUE, GREENSBORO, NC 27401
- **Mailing address phone:** (336) 274-8386
- **Mailing address fax:** (336) 274-8375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5327 | NC | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 97293 | BCBS | — |