NPI 1306145701

Nicole Rochelle Redd, DA

Practitioner Dental Assistant Sapulpa, OK

Practice location

Address: 1044 E Lincoln Ave, Sapulpa, OK 74066-4505
Phone: (918) 224-7000
Mailing address: 242 E 27th Pl N, Tulsa, OK 74106-2316

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 21077 (OK)

Other Dental Assistant providers in Oklahoma →

Registry record

NPI: 1306145701
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2011
Record last updated: 24 Mar 2011

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.