Individual provider · Type 1 NPI
Frederick Monroe Severson, DDS
General Practice Dentistry · Nicollet, MN
NPI number
1104830231
Active
Practice location
200 Main Street
Nicollet, MN 56074-0009
Mailing address
PO Box 9
Nicollet, MN 56074-0009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 9188 (MN) |
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.
About NPI 1104830231
Frederick Monroe Severson, DDS's National Provider Identifier is 1104830231, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Nicollet, MN. The record was last updated on Jul 8, 2007.