Wayne Anthony Frederickson in Livingston - General Practice
Wayne Anthony Frederickson - NPI 1124172259
Wayne Anthony Frederickson is a General Practice in Livingston, Montana. Wayne Anthony Frederickson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wayne Anthony Frederickson is 1124172259. The last update date is 2007-07-08.
Wayne Anthony Frederickson's current location address is 422 S Main St, Livingston, Montana. You can contact this provider via phone number 4062226061 and fax number 4062226062. The mailing address for Wayne Anthony Frederickson is 422 S Main St, Livingston, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Anthony Frederickson |
|---|---|
| Address | 422 S Main St, Livingston, Montana |
| Phone Number | 4062226061 |
| Fax Number | 4062226062 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124172259 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 422 S Main St |
|---|---|
| City | Livingston |
| State | Montana (MT) |
| Post Code | 590473456 |
| Phone Number | 4062226061 |
| Fax Number | 4062226062 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2104 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112795 | MT | -- | |
| 5512312 | MT | CHIP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wayne Anthony Frederickson by the Centers for Medicare & Medicaid Services?
The Wayne Anthony Frederickson has been assigned the NPI (National Provider Identifier) 1124172259 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Wayne Anthony Frederickson is physically located?
The Wayne Anthony Frederickson is situated at the following address: 422 S Main St, Livingston, MT 590473456.
What is Wayne Anthony Frederickson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wayne Anthony Frederickson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Wayne Anthony Frederickson receive its 1124172259 assignment from the Centers for Medicare & Medicaid Services?
The Wayne Anthony Frederickson was assigned its 1124172259 by the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the Wayne Anthony Frederickson's information last updated?
The Wayne Anthony Frederickson's information was last updated on 2007-07-08.