Gary Leroy Fredrickson in Junction City - General Practice
Gary Leroy Fredrickson - NPI 1992774582
Gary Leroy Fredrickson is a General Practice in Junction City, Kansas. Gary Leroy Fredrickson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Leroy Fredrickson is 1992774582. The last update date is 2022-12-12.
Gary Leroy Fredrickson's current location address is 361 Grant Ave, Junction City, Kansas. You can contact this provider via phone number 7852384711. The mailing address for Gary Leroy Fredrickson is 361 Grant Ave, Junction City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Leroy Fredrickson |
|---|---|
| Address | 361 Grant Ave, Junction City, Kansas |
| Phone Number | 7852384711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1992774582 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2022-12-12 |
Provider Mailing Address Detail
| Address | 361 Grant Ave |
|---|---|
| City | Junction City |
| State | Kansas (KS) |
| Post Code | 664414201 |
| Phone Number | 7852384711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5909 |
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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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What is the unique 10-digit identifier code issued to Gary Leroy Fredrickson by the Centers for Medicare & Medicaid Services?
The Gary Leroy Fredrickson has been assigned the NPI (National Provider Identifier) 1992774582 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gary Leroy Fredrickson is located?
The Gary Leroy Fredrickson is situated at the following address: 361 Grant Ave, Junction City, KS, 664414201.
What is Gary Leroy Fredrickson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Leroy Fredrickson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did Gary Leroy Fredrickson receive its 1992774582 assignment?
The Gary Leroy Fredrickson was assigned its 1992774582 on 2006-03-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Gary Leroy Fredrickson most recently updated or revised?
The information pertaining to Gary Leroy Fredrickson, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-12.