NPI 1013104363

Edwin L Redding, DDS

Practitioner General Practice Dentistry Jackson, MS

Practice location

Address: 4801 Old Canton Road, Jackson, MS 39211
Phone: (601) 981-7122
Fax: (601) 981-0569

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence REDDING112864 (MS)

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Registry record

NPI: 1013104363
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2007
Record last updated: 1 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.