Individual
DR. JONATHAN REDDITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 922-4103
(585) 922-4495
Mailing address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 922-4103
(585) 922-4495
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
060970
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2015
Last updated
01/10/2023
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