Individual provider · Type 1 NPI

Lisa Fredrickson

General Practice Dentistry · Windsor, CT

NPI number 1023576493 Active

Practice location

250 Lamberton Rd
Windsor, CT 06095-2149

Mailing address

79 Wrights Pond Rd
Westbrook, CT 06498-1458

Other practice locations

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 · (718) 470-3076

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12734 (CT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

General Practice Dentistry: 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.

8 other providers at this address

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About NPI 1023576493

Lisa Fredrickson's National Provider Identifier is 1023576493, issued on Mar 5, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Windsor, CT. The record was last updated on Aug 20, 2020.