Individual provider · Type 1 NPI
Glenn M. Frederick
General Practice Dentistry · Canterbury, CT
NPI number
1174676589
Active
Practice location
37 S Canterbury Rd
Canterbury, CT 06331-1520
Mailing address
PO Box 487
Canterbury, CT 06331-0487
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5093 (CT) |
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 1174676589
Glenn M. Frederick's National Provider Identifier is 1174676589, issued on Jan 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Canterbury, CT. The record was last updated on Jul 8, 2007.