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Dr. Donald A Frederick III, DDS
General Practice Dentistry in Wilkes Barre, Pennsylvania
NPI 1558496026

Donald A Frederick III is a General Practice Dentistry based in Harveys Lake, PA and is specialized in General Practice. Donald A Frederick III practices in Wilkes Barre, PA and has the professional credentials of DDS. The NPI Number for Donald A Frederick III is 1558496026 and holds a License No. 19534-L (Pennsylvania).

The current practice location address for Donald A Frederick III is 44 S Main St, Wilkes Barre, PA and can be reached out via phone at 570-829-2691 and via fax at 570-829-2790.

Location: 44 S Main St, Wilkes Barre, PA, 18618-9760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558496026
Provider Name
Donald A Frederick III
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
44 S Main St, Wilkes Barre, PA, 18618-9760
Phone Number
570-829-2691
Fax Number
570-829-2790
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126020 01 PA UCCI PROVIDER ID#
156744 01 PA UNISON PROVIDER ID#
institution
Provider Business Practice Location Address Details
Address
44 S Main St
City
Wilkes Barre
State
Pennsylvania
Zip
18701-1705
Phone Number
570-829-2691
Fax Number
570-829-2790
person
Provider Business Mailing Address Details
Address
44 S Main St
City
Wilkes Barre
State
Pennsylvania
Zip
18701-1705
Phone Number
570-829-2691
Fax Number
570-829-2790
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19534-L (Pennsylvania)
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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