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DR. ERIC HOWARD FREDERIKSEN D.D.S. NPI 1174803308


NPI Information

NPI: 1174803308
Provider Name: DR. ERIC HOWARD FREDERIKSEN, D.D.S.
Classification: Dentist - 1223X2210X
Entity Type: Individual

Specialization: Orofacial Pain

Address:
PSC 475 BOX 1
FPO, AP
ZIP 96350
Phone: (315) 243-8808
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DR. Eric Howard Frederiksen, D.D.S. is an orofacial pain dentist in Fpo, AP. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. DR. Eric Howard Frederiksen, D.D.S. NPI is 1174803308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PSC 475 BOX 1
FPO, AP
ZIP 96350-200
Phone: (315) 243-8808

The enumeration date for this NPI number is 8/19/2011 and was last updated on 8/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist9657KENTUCKYNo
21223X2210XDentistOrofacial Pain9657KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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