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Dr. Joseph Derek Fridgen, DDS
Pediatric Dentist in San Jose, California
NPI 1003980194

Joseph Derek Fridgen is a Pediatric Dentist based in San Jose, CA and is specialized in Pediatric Dentistry. Joseph Derek Fridgen practices in San Jose, CA and has the professional credentials of DDS. The NPI Number for Joseph Derek Fridgen is 1003980194 and holds a License No. 50909 (California).

The current practice location address for Joseph Derek Fridgen is 189 N Bascom Ave Ste 200, San Jose, CA and can be reached out via phone at 408-286-6315 and via fax at 408-286-6319.

Location: 189 N Bascom Ave Ste 200, San Jose, CA, 95128-1869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003980194
Provider Name
Joseph Derek Fridgen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
189 N Bascom Ave Ste 200, San Jose, CA, 95128-1869
Phone Number
408-286-6315
Fax Number
408-286-6319
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
189 N Bascom Ave Ste 200
City
San Jose
State
California
Zip
95128-1869
Phone Number
408-286-6315
Fax Number
408-286-6319
person
Provider Business Mailing Address Details
Address
189 N Bascom Ave Ste 200
City
San Jose
State
California
Zip
95128-1869
Phone Number
408-286-6315
Fax Number
408-286-6319
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
50909 (California)
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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