Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ROSS JARED REDDOCK DDS
NPI 1790601946
Dentist - General Practice in Camp Lejeune, NC

Active since June 24, 2026
MARINE CENTERED MEDICAL HOME WALLACE CREEK, BLDG. WC 2, BIRCH ST, CAMP LEJEUNE, NC 28542(910) 451-6122 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ross Jared Reddock Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSS JARED REDDOCK DDS (NPI 1790601946) is an individual general practice provider in Camp Lejeune, North Carolina, licensed in North Carolina (14883) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1790601946
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROSS JARED REDDOCKCredential: DDS
Location AddressMARINE CENTERED MEDICAL HOME WALLACE CREEK, BLDG. WC 2, BIRCH STCamp Lejeune, NC 28542
Mailing Address54 Fountain LnJericho, NY 11753-2317
Sole ProprietorYes
Enumeration DateJune 24, 2026
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
NPI 1790601946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 14883
Definition

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.

MARINE CENTERED MEDICAL HOME WALLACE CREEK, BLDG. WC 2, Camp Lejeune, NC 28542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ross Reddock's NPI number?

The NPI number for Ross Reddock is 1790601946. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Ross Reddock located?

Ross Reddock practices at Marine Centered Medical Home Wallace Creek, Bldg. Wc 2 Birch St, Camp Lejeune, NC 28542. The listed phone number is (910) 451-6122.

What is Ross Reddock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ross Reddock was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.