Individual provider · Type 1 NPI

Jonathon Karl Frederiksen, RDH

Dental Hygienist · Pecos, NM

NPI number 1912355629 Active

Practice location

199 Hwy 50
Pecos, NM 87552

Mailing address

2 Avenida De Compadres
Santa Fe, NM 87508-8713

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH2815 (NM)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1912355629

Jonathon Karl Frederiksen, RDH's National Provider Identifier is 1912355629, issued on Jun 3, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Pecos, NM. The record was last updated on Jun 3, 2016.