Frederick, Donald

Frederick, Donald is an individual health care provider with primary practice located at 288 State Route 35 S , Eatontown NJ 07724-2105. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Frederick, Donald can be contacted via phone (732) 542-7770.

Contact Information

Primary practice address
288 State Route 35 S Eatontown NJ 07724-2105
Phone: (732) 542-7770
Fax: (732) 542-4244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11910 New Jersey

Profile Details

NPI number 1376768176
LBN Legal business name Frederick, Donald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376768176 NPPES
New Jersey Other 11910 STATE LICENSE NUMBER

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