Provider Demographics
NPI:1720425754
Name:REDMOND, KAREEM DEANDRE' (DDS)
Entity Type:Individual
Prefix:
First Name:KAREEM
Middle Name:DEANDRE'
Last Name:REDMOND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6328 CLEMMONS POINT DR
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-8010
Mailing Address - Country:US
Mailing Address - Phone:336-893-4743
Mailing Address - Fax:
Practice Address - Street 1:6328 CLEMMONS POINT DR
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-8010
Practice Address - Country:US
Practice Address - Phone:336-893-4743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9542122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist