Brent Curtis Fredrickson, DDS

Dentist · St Paul, MN

Individual Active NPI

NPI number 1578601449

Practice location

1651 N Dale Street
St Paul, MN 55117
Phone
(651) 488-5888
Fax
(651) 488-8425

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NPI record

NPI
1578601449
Entity type
Individual (Type 1)
Enumeration date
February 2, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D11125 MN

About Dr. Fredrickson

Brent Curtis Fredrickson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1651 N Dale Street, St Paul, MN 55117. The NPI number 1578601449 was assigned on February 2, 2007 and the record was last updated on July 8, 2007.

Dr. Fredrickson lists a license in the registry: #D11125 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brent Curtis Fredrickson, DDS?

The NPI number is 1578601449.

What is the phone number of Dr. Fredrickson?

The phone number listed for the practice location is (651) 488-5888.

Where is Dr. Fredrickson located?

1651 N Dale Street, St Paul, MN 55117.

What is the taxonomy code for Dr. Fredrickson?

The primary taxonomy code is 122300000X – Dentist.

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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