Individual
DR. GAIL REDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
220 SOUTHLAND DR, SIKESTON, MO 63801-4403
(573) 471-4167
(573) 471-4212
Mailing address
PO BOX 400, NEW MADRID, MO 63869-0400
(573) 748-2404
(573) 748-8929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014140
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400704003
—
MO
05
—
406087205
—
MO
Enumeration date
08/11/2006
Last updated
12/13/2011
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