Nicholas Anthony Fredericka in Yerington - General Practice

Nicholas Anthony Fredericka - NPI 1790904589

Nicholas Anthony Fredericka is a General Practice in Yerington, Nevada. Nicholas Anthony Fredericka practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nicholas Anthony Fredericka is 1790904589. The last update date is 2008-07-25.

Nicholas Anthony Fredericka's current location address is 120 Bovard St, Yerington, Nevada. You can contact this provider via phone number 7754631800 and fax number 7754634810. The mailing address for Nicholas Anthony Fredericka is 120 Bovard St, Yerington, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicholas Anthony Fredericka
Address 120 Bovard St, Yerington, Nevada
Phone Number 7754631800
Fax Number 7754634810
Sole Proprietor N
Credentials D.M.D

NPI Number Detail

NPI Number 1790904589
Provider Enumeration Date 2007-04-24
Last Updated Date 2008-07-25

Provider Mailing Address Detail

Address 120 Bovard St
City Yerington
State Nevada (NV)
Post Code 894472437
Phone Number 7754631800
Fax Number 7754634810

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 30016140
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
493729 OH --
341352009027 OH --
196764 OH UNITED CONCORDIA INS. ID#
341352009 OH DELTA DENTAL INS PROV. ID

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FAQs about Nicholas Anthony Fredericka

What is the unique identifier code issued to Nicholas Anthony Fredericka by the Centers for Medicare & Medicaid Services?

The Nicholas Anthony Fredericka has been assigned the NPI (National Provider Identifier) 1790904589. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Nicholas Anthony Fredericka?

The Nicholas Anthony Fredericka is situated at 120 Bovard St, in the city of Yerington, state of NV, with the zip code 894472437.

What is the Nicholas Anthony Fredericka's area of specialization and corresponding taxonomy classification?

The Nicholas Anthony Fredericka's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When was the Nicholas Anthony Fredericka's 1790904589 issued?

The Nicholas Anthony Fredericka's 1790904589 was issued on 2007-04-24.

When was the Nicholas Anthony Fredericka's information last updated?

The Nicholas Anthony Fredericka's information was last updated on 2008-07-25.

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