Frederick, Richard Steven

Frederick, Richard Steven is an individual health care provider with primary practice located at 819 Riverbend Dr Suite B, Gadsden AL 35901-2556. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Frederick, Richard Steven can be contacted via phone (256) 546-9214.

Contact Information

Primary practice address
819 Riverbend Dr Suite B Gadsden AL 35901-2556
Fax: (256) 546-0564
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3499 Alabama

Profile Details

NPI number 1306824073
LBN Legal business name Frederick, Richard Steven
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306824073 NPPES
Alabama Other 92286 BLUE CROSS BLUE SHIELD

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