IndividualActive
Likith Reddy, D.D.S., M.D
NPI 1104887645 · Oral & Maxillofacial Surgery (D.M.D.) · Dallas, TX
Provider details
- NPI number
- 1104887645
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- D.D.S., M.D
- Sex
- Male
- Sole proprietor
- No
- License
- Q0158 (TX)
Practice location
3302 Gaston Ave
Rm #161
Dallas, TX 75246-2013
Phone: (214) 828-8455
Fax: (214) 828-8382
Mailing address
Po Box 660677
Dallas, TX 75266-0677
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2014-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.