Provider Demographics
NPI:1851154512
Name:AFFORDABLE DENTURES - LIMA, BRIAN REDDITT, DMD, INC.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - LIMA, BRIAN REDDITT, DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:REDDITT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:419-228-6680
Mailing Address - Street 1:1951 BELLEFONTAINE RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-3449
Mailing Address - Country:US
Mailing Address - Phone:419-228-6680
Mailing Address - Fax:
Practice Address - Street 1:1951 BELLEFONTAINE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-3449
Practice Address - Country:US
Practice Address - Phone:419-228-6680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty