Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396710901 Individual Practitioner Female Practitioner

Dr. Debra M Reddick , DDS

Dentist - General Practice • Forest Park, GA

Professional Overview & Biography Verified Profile Summary

Dr. Debra Reddick, DDS is a registered healthcare professional specializing in Dentist - General Practice in Forest Park, GA. Practice services are available at 4458 JONESBORO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4458 Jonesboro Rd

Forest Park, GA 302974314

Telephone 4708783512

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Forest Park, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Forest Park, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013060

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - Dental Public Health

NUCC Taxonomy Code: 1223D0001X

State License GA DN013060

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License GA DN013060

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
545055622A (GA)
Medicaid State Provider ID
545055622B (GA)
Medicaid State Provider ID
9180174 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Olutoyin Agbelemose , DDS

Dentist - General Practice

NPI 1659796761

Doctor of Dental Surgery

David Shaver

Dentist - General Practice

NPI 1851190953

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 21, 2021

Registered at 4458 JONESBORO RD, FOREST PARK, GA 302974314 (Tel: 4708783512)

📍
Updated Business Mailing Address July 21, 2021

Registered at 400 PLAYERS CT, MCDONOUGH, GA 302538810 (Tel: 9082856051)

NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2017

Registered at 171 EMERY HYW, MACON-BIBB COUNTY HEALTH DEPARTMENT, MACON, GA 31217 (Tel: 4787490109)

📍
Updated Business Mailing Address February 23, 2017

Registered at 171 EMERY HWY, MACON-BIBB COUNTY HEALTH DEPARTMENT, MACON, GA 31217 (Tel: 4787490109)

👤
Provider Name / Credentials Updated February 23, 2017

Recorded as DEBRA REDDICK, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Dentist (License #DN013060 in GA)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1536 EISENHOWER PKWY, MACON, GA 312063130 (Tel: 4787814333)

📍
Updated Business Mailing Address July 09, 2007

Registered at 415 N GRAND AVE, PUEBLO, CO 810033111 (Tel: 7195463333)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DEBRA BAZZEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DN013060 in GA)

🟢
Initial NPI Registration & Enumeration February 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Debra Reddick. Be the first to share your experience!

Sign in to leave a review for Dr. Debra Reddick

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396710901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2006
Last Update: July 21, 2021
Sole Proprietor: No

Mailing Address

400 Players Ct

Mcdonough, GA 302538810

Phone: 9082856051

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.