Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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

Q: 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.

Q: What is Ross Reddock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ross Reddock was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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 added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

Phone(910) 451-6122

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

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.