NPI 1104978279

Janice O. Frederick, D.D.S.,p.A.

Organisation General Practice Dentistry Richfield, MN

Practice location

Address: 6410 Nicollet Ave, Richfield, MN 55423-1613
Phone: (612) 866-7300

Authorised official

Name: Janice Oberg Frederick
Title: Owner
Phone: (612) 866-7300

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 9631 (MN)

Other Dentist providers in Minnesota →

Registry record

NPI: 1104978279
Entity type: Organization
NPI issued: 17 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.