Glenn M. Frederick in Canterbury - General Practice

Glenn M. Frederick - NPI 1174676589

Glenn M. Frederick is a General Practice in Canterbury, Connecticut. Glenn M. Frederick practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glenn M. Frederick is 1174676589. The last update date is 2007-07-08.

Glenn M. Frederick's current location address is Po Box 487, Canterbury, Connecticut. You can contact this provider via phone number 8606082334. The mailing address for Glenn M. Frederick is Po Box 487, Canterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn M. Frederick
Address Po Box 487, Canterbury, Connecticut
Phone Number 8606082334
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1174676589
Provider Enumeration Date 2007-01-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 487
City Canterbury
State Connecticut (CT)
Post Code 63310487
Phone Number 8606082334
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5093
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Glenn M. Frederick

What is the Glenn M. Frederick's unique identification number?

The Glenn M. Frederick has been assigned the NPI (National Provider Identifier) Number 1174676589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Glenn M. Frederick is located?

The Glenn M. Frederick is situated at the following address: Po Box 487, Canterbury, CT, 63310487.

What is the area of specialization for Glenn M. Frederick, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Glenn M. Frederick is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When did the Glenn M. Frederick receive its 1174676589?

The Glenn M. Frederick was issued its 1174676589 on 2007-01-19, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Glenn M. Frederick most recently updated or revised?

The information pertaining to Glenn M. Frederick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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