John Fredricksen, DDS

General Practice Dentistry · Oak Lawn, IL

Individual Active NPI

NPI number 1487661997

Practice location

9606 S Cicero Ave
Oak Lawn, IL 60453-3102
Phone
(708) 636-2525

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NPI record

NPI
1487661997
Entity type
Individual (Type 1)
Enumeration date
August 1, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Fredricksen

John Fredricksen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 9606 S Cicero Ave, Oak Lawn, IL 60453-3102. The NPI number 1487661997 was assigned on August 1, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of John Fredricksen, DDS?

The NPI number is 1487661997.

What is the phone number of Dr. Fredricksen?

The phone number listed for the practice location is (708) 636-2525.

Where is Dr. Fredricksen located?

9606 S Cicero Ave, Oak Lawn, IL 60453-3102.

What is the taxonomy code for Dr. Fredricksen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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