Fredericks, Harold Edwin

Fredericks, Harold Edwin is an individual health care provider with primary practice located at 4515 Harding Rd Suite 111, Nashville TN 37205-2118. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fredericks, Harold Edwin can be contacted via phone (615) 269-0485.

Contact Information

Primary practice address
4515 Harding Rd Suite 111 Nashville TN 37205-2118
Phone: (615) 269-0485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS3227 Tennessee

Profile Details

NPI number 1558350348
LBN Legal business name Fredericks, Harold Edwin
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 9th, 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 1558350348 NPPES
Tennessee MEDICAID 0016290

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