Joseph Derek Fridgen in San Jose - Pediatric Dentistry
Joseph Derek Fridgen - NPI 1003980194
Joseph Derek Fridgen is a Pediatric Dentistry in San Jose, California. Joseph Derek Fridgen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Joseph Derek Fridgen is 1003980194. The last update date is 2007-07-08.
Joseph Derek Fridgen's current location address is 189 N Bascom Ave Ste 200, San Jose, California. You can contact this provider via phone number 4082866315 and fax number 4082866319. The mailing address for Joseph Derek Fridgen is 189 N Bascom Ave Ste 200, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Derek Fridgen |
|---|---|
| Address | 189 N Bascom Ave Ste 200, San Jose, California |
| Phone Number | 4082866315 |
| Fax Number | 4082866319 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1003980194 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 189 N Bascom Ave Ste 200 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951281869 |
| Phone Number | 4082866315 |
| Fax Number | 4082866319 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 50909 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identifier code issued to Joseph Derek Fridgen by the Centers for Medicare & Medicaid Services?
The Joseph Derek Fridgen has been assigned the NPI (National Provider Identifier) 1003980194 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Joseph Derek Fridgen's facilities are geographically located?
The facilities of Joseph Derek Fridgen are physically situated at the following location: 189 N Bascom Ave Ste 200, San Jose, CA, 951281869.
What is Joseph Derek Fridgen's area of expertise and its corresponding taxonomy classification?
The Joseph Derek Fridgen's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1003980194 assigned to Joseph Derek Fridgen?
The Joseph Derek Fridgen was issued its 1003980194 on 2006-11-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Joseph Derek Fridgen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joseph Derek Fridgen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.