Gary Leroy Fredrickson, DMD

General Practice Dentistry · Junction City, KS

Individual Active NPI

NPI number 1992774582

Practice location

361 Grant Ave
Junction City, KS 66441-4201
Phone
(785) 238-4711

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NPI record

NPI
1992774582
Entity type
Individual (Type 1)
Enumeration date
March 16, 2006
Last updated
December 12, 2022
Certified
December 12, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5909 KS

About Dr. Fredrickson

Gary Leroy Fredrickson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 361 Grant Ave, Junction City, KS 66441-4201. The NPI number 1992774582 was assigned on March 16, 2006 and the record was last updated on December 12, 2022.

Dr. Fredrickson lists a license in the registry: #5909 (KS) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Leroy Fredrickson, DMD?

The NPI number is 1992774582.

What is the phone number of Dr. Fredrickson?

The phone number listed for the practice location is (785) 238-4711.

Where is Dr. Fredrickson located?

361 Grant Ave, Junction City, KS 66441-4201.

What is the taxonomy code for Dr. Fredrickson?

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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