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Dr. Jack C. Fredrickson, DDS
General Practice Dentistry in Lake Havasu City, Arizona
NPI 1427017979

Jack C. Fredrickson is a General Practice Dentistry based in Lake Havasu City, AZ and is specialized in General Practice. Jack C. Fredrickson practices in Lake Havasu City, AZ and has the professional credentials of DDS. The NPI Number for Jack C. Fredrickson is 1427017979 and holds a License No. 2079 (Arizona).

The current practice location address for Jack C. Fredrickson is 1930 Mesquite Ave, Lake Havasu City, AZ and can be reached out via phone at 928-855-4347 and via fax at 928-855-6894.

Location: 1930 Mesquite Ave, Lake Havasu City, AZ, 86406-8352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427017979
Provider Name
Jack C. Fredrickson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1930 Mesquite Ave, Lake Havasu City, AZ, 86406-8352
Phone Number
928-855-4347
Fax Number
928-855-6894
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1930 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5674
Phone Number
928-855-4347
Fax Number
928-855-6894
person
Provider Business Mailing Address Details
Address
1930 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5674
Phone Number
928-855-4347
Fax Number
928-855-6894
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2079 (Arizona)
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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