Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffery Edwin Reddicks, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1912072067

Dr. Jeffery Edwin Reddicks, DMD is an Oral and Maxillofacial Surgery (Dentist) in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

7095 SW Gonzaga St
Tigard, OR 97223-8309
Phone: (503) 620-6715
Fax: (503) 620-8259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D6775 (OR)

Record details

NPI number1912072067
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESJune 1, 2015
Mailing address6950 Ne Campus Way, Hillsboro, OR 97124-5611

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