Individual provider · Type 1 NPI

Ross Jared Reddock, DDS

General Practice Dentistry · Camp Lejeune, NC

NPI number 1790601946 Active

Practice location

Marine Centered Medical Home Wallace Creek, Bldg. Wc 2, Birch St
Camp Lejeune, NC 28542

Mailing address

54 Fountain Ln
Jericho, NY 11753-2317

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X14883 (NC)

General Practice Dentistry: 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.

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About NPI 1790601946

Ross Jared Reddock, DDS's National Provider Identifier is 1790601946, issued on Jun 24, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Camp Lejeune, NC. The record was last updated on Jul 17, 2026.