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Dr. Wayne Anthony Frederickson, DDS
General Practice Dentistry in Livingston, Montana
NPI 1124172259

Wayne Anthony Frederickson is a General Practice Dentistry based in Livingston, MT and is specialized in General Practice. Wayne Anthony Frederickson practices in Livingston, MT and has the professional credentials of DDS. The NPI Number for Wayne Anthony Frederickson is 1124172259 and holds a License No. 2104 (Montana).

The current practice location address for Wayne Anthony Frederickson is 422 S Main St, Livingston, MT and can be reached out via phone at 406-222-6061 and via fax at 406-222-6062. You can also correspond with Wayne Anthony Frederickson through the mailing address at 422 S MAIN ST, LIVINGSTON, MT - 59047-3456 (mailing address contact number: 406-222-6061).

Location: 422 S Main St, Livingston, MT, 59047-3456
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Provider Profile Details
NPI Number
1124172259
Provider Name
Wayne Anthony Frederickson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
422 S Main St, Livingston, MT, 59047-3456
Phone Number
406-222-6061
Fax Number
406-222-6062
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0112795 05 MT
5512312 01 MT CHIP
institution
Provider Business Practice Location Address Details
Address
422 S Main St
City
State
Zip
59047-3456
Phone Number
406-222-6061
Fax Number
406-222-6062
person
Provider Business Mailing Address Details
Address
422 S Main St
City
State
Zip
59047-3456
Phone Number
406-222-6061
Fax Number
406-222-6062
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
2104 (Montana)
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.
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