P Praxis·MD
● Active Type 1 · Individual

DR. Debra M Reddick, D.D.S

Dentist·Forest Park, GA· NPI 1396710901 · Enumerated 2006 · 20 years on NPI
Reddick is 1 of 11 dentist providers in Forest Park and 1 of 4309 in Georgia.
NPI age
20 years
Enumerated 2006-02-18
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
4458 Jonesboro Rd
Forest Park, GA 302974314
📞 4708783512
Mailing address
400 Players Ct
McDonough, GA 302538810
📞 9082856051

Specialties

  • Dentist Primary
    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.
    GA license #DN013060GA license #DN013060 taxonomy 1223G0001X
  • Dentist
    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. ...
    GA license #DN013060 taxonomy 1223D0001X

Identifiers

TypeValueNotes
05 (GA) 545055622A
05 (GA) 545055622B
05 (GA) 9180174

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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