Individual provider · Type 1 NPI

John Fredricksen, DDS

General Practice Dentistry · Oak Lawn, IL

NPI number 1487661997 Active

About NPI 1487661997

John Fredricksen, DDS's National Provider Identifier is 1487661997, issued on Aug 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oak Lawn, IL. The record was last updated on Jul 8, 2007.