Whalio Doctors

NPI 1346397239

Jonathan Frederick, MD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Sheffield, AL

Practice location

Address
398 Ashe Blvd, Sheffield, AL 35660-1729
Phone
(256) 383-1499

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence AL28212 (AL)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence AL5271 (AL)

Registry record

NPI
1346397239
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jan 2007
Record last updated
15 Nov 2011

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.