DR. CAITLIN MARIE REDDY (NPI# 1376975144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376975144 |
| Entity Type | Individual |
| Full Name | DR. CAITLIN MARIE REDDY |
| Credential | DMD |
| Practice Address |
Bldg 38717 38th Street Usa Dentac Ft Gordon GA 30905-5660 |
| Practice Telephone | 7067876927 |
| Practice Fax Number | 7067872082 |
| Mailing Telephone | 7067876927 |
| Mailing Fax Number | 7067872082 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901021024 | MI | Dental Providers |
| Street Address |
BLDG 38717 38TH STREET USA DENTAC |
| City | FT GORDON |
| State | GA |
| Zip Code | 30905-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922457985 | Anna Richards | Registered Nurse | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-06-09 |
| 1447669023 | Andrew Clanney | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2014-08-07 |
| 1245648351 | Spencer Hill | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2014-08-01 |
| 1477987378 | Aujin Kim | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2013-08-27 |
| 1346672920 | Sara Elizabeth Mandell | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2013-08-06 |
| 1275975658 | Karin Macayla Jamison | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2013-07-25 |
| 1396099891 | Kirstin Michelle Low | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2012-11-05 |
| 1265780175 | Albert Wayen Cheng | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2012-08-27 |
| 1881949766 | Jeremy Joseph Hanlon | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2012-07-17 |
| 1326328147 | Jennifer Jordan Cote | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2011-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670550 | Travis James Austin | Dentist | Bldg 38801 Academic Dr Ste B,c, Usa Dentac, Ft Gordon, GA 30905 | 2007-01-03 |
| 1588641864 | Johnette Joy Shelley | Dentist | Bldg 38717, 38th St, Usa Dentac, Ft Gordon, GA 30905-5660 | 2005-12-28 |
| 1104803741 | Hwahoon Jeong | Dentist | Usa Dental Health Activity (dha), Bldg 38801 Academic Dr, Ste B&c, Ft Gordon, GA 30905-5660 | 2005-12-26 |
| 1831175769 | Crystal Jo Smith | Dentist | Bldg 38801 Academic Dr, Suite B & C, Ft Gordon, GA 30905-5660 | 2005-12-22 |
| 1669456828 | William Wayne Carmichael | Dentist | Bldg 38717 38 St., Attn: Credentials Office, Ft Gordon, GA 30905-5660 | 2005-12-01 |
| 1760038046 | Jimmy Nmn Chen | Dentist | Bldg 38801 Academic Dr, Suite B&c, Ft Gordon, GA 30905-5660 | 2019-08-13 |
| 1245719780 | Chang Woo Jung | Dentist | Bldg 38801 Academic Dr, Suite B&c, Ft Gordon, GA 30905-5645 | 2018-08-07 |
| 1518414630 | James Patrick Wilson | Dentist | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-09-07 |
| 1447669023 | Andrew Clanney | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2014-08-07 |
| 1245648351 | Spencer Hill | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2014-08-01 |
| Find all providers in FT GORDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.