Jeffery Reddicks, DMD
NPI 1912072067 · Oral and Maxillofacial Surgery (Dentist) · Tigard, OR
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffery Reddicks, DMD is a Oral and Maxillofacial Surgery (Dentist) provider in Tigard, OR (NPI 1912072067).
Provider details
- NPI number
- 1912072067
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D6775 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2015-06-01
Frequently asked questions
- What is Jeffery Reddicks's NPI number?
- Jeffery Reddicks's National Provider Identifier (NPI) is 1912072067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffery Reddicks's specialty?
- Jeffery Reddicks is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Jeffery Reddicks located?
- Jeffery Reddicks's practice location on file with NPPES is 7095 Sw Gonzaga St, Tigard, OR 97223-8309.
- What is Jeffery Reddicks's phone number?
- The practice phone number listed in the NPPES registry for Jeffery Reddicks is (503) 620-6715.
- Does Jeffery Reddicks accept Medicare?
- Jeffery Reddicks is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffery Reddicks's NPI active?
- Yes — Jeffery Reddicks's NPI (1912072067) is active in the NPPES registry as of the last update on 2015-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.