Individual
JESSICA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9486 WICKER AVE, SAINT JOHN, IN 46373-9400
(219) 765-8835
Mailing address
10244 APPLEWOOD CT, MUNSTER, IN 46321-5128
(219) 765-8835
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019.033350
IL
1223D0001X
Public Health Dentistry
26156
FL
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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