| NPI Details | |
|---|---|
| NPI | 1801014410 |
| Enumeration Date | 04/22/2007 |
| Last Updated | 02/20/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JASON WAYNE JASON |
| Position | PRESIDENT |
| Phone | (561) 743-6700 |
| Fax | (561) 743-9314 |
| Practice Location | |
|---|---|
| 10156 W INDIANTOWN RD JUPITER FL, 33478-4707, US |
|
| Phone | (561) 743-6700 |
| Fax | (561) 743-9314 |
| Business Location | |
|---|---|
| 10156 W INDIANTOWN RD JUPITER FL, 33478-4707, US |
|
| Phone | (561) 743-6700 |
| Fax | (561) 743-9314 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223G0001X |
| License State | Florida |
| License Number | DN14300 |
| Remove 1801014410 NPI Number | |
According to our database, Fredrick Dental, Pa NPI is 1801014410, taxonomy code is 1223G0001X and license number is DN14300, license state is located at Florida. Fredrick Dental, Pa physically located at 10156 W Indiantown Rd, Jupiter FL, 33478-4707. NPI Number 1033115704 has the healthcare provider type.
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1801014410 NPI number is provided on an as is basis without warranty of any kind. 1801014410 is maintained by the National Plan & Provider Enumeration System. The contents of Fredrick Dental, Pa are for informational purposes only.
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