Lee Redditt, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3755-14 Issued in MS

Practice address

120 S University Blvd
Mobile, AL 36608-3045

Phone

(251) 342-2324

NPI assigned

Jun 14, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lee Redditt DMD, PLLC

  • Dental Clinic/Center
  • Theodore, AL
  • NPI 1164096749
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1801200134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LANCASTER RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081903",
            "telephone_number": "251-463-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083045",
            "telephone_number": "251-342-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDITT",
        "first_name": "LEE",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-14",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3755-14",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6099-C1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reclamation Counseling LLC
• Reconciliation Counseling Services, LLC
• Recovercare, LLC
• Isabella Marie Rector
• Sarah Redding, AUD, CCC-A
• Christle Reddix, LMFT
• Darlene C Reddix
• Vyshali Madadi Reddy Loupe, M. D.
• Jennifer Redmond, CRNP
• Tyronda Redmond

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.