NPI 1104887645

Likith V Reddy, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Dallas, TX

Practice location

Address: 3302 Gaston Ave Rm #161, Dallas, TX 75246-2013
Phone: (214) 828-8455
Fax: (214) 828-8382
Mailing address: PO Box 660677 Rm 177, Dallas, TX 75266-0677

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence Q0158 (TX)

Other Oral & Maxillofacial Surgery providers in Texas →

Registry record

NPI: 1104887645
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2006
Record last updated: 7 May 2014

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.