National Provider Identifier
Jonathan Redditt, D.M.D
Jonathan Redditt, D.M.D is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Rochester, NY and a listed phone number of (585) 922-4103.
Source: public NPPES record, last updated January 10, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1467835777
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- July 06, 2015
- Last Updated
- January 10, 2023
Practice Location
- 1455 E Ridge RD
- Rochester, NY 14621-2006
Phone: (585) 922-4103
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
- Student in an Organized Health Care Education/Training Program (390200000X)
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Full Record
- NPI
- 1467835777
- Entity Type
- Individual
- Last Name
- Redditt
- First Name
- Jonathan
- Name Prefix
- Dr.
- Credential
- D.M.D
- Mailing Street Address
- 1455 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2006
- Mailing Country
- US
- Mailing Phone
- (585) 922-4103
- Mailing Fax
- (585) 922-4495
- Practice Street Address
- 1455 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2006
- Practice Country
- US
- Practice Phone
- (585) 922-4103
- Practice Fax
- (585) 922-4495
- Enumeration Date
- July 06, 2015
- Last Updated
- January 10, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 10, 2023
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X), Student in an Organized Health Care Education/Training Program (390200000X)