Whalio Doctors

NPI 1386020170

Robert Herbert Fredrickson

Organisation Dentist Williamsport, PA

Practice location

Address
1124 Market St, Williamsport, PA 17701-2124
Phone
(570) 326-6170

Authorised official

Name
Robert H Fredrickson
Title
Owner
Phone
(570) 326-6170

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence DS017415L (PA)

Registry record

NPI
1386020170
Entity type
Organization
NPI issued
4 Aug 2015
Record last updated
2 Nov 2015

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.