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NPI Code Detail

MEDICARE: DR. DANIEL FRANK FREDERICK

MEDICARE:  DR. DANIEL FRANK FREDERICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry#4059TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
165978OTHERMET LIFE
2CBTN1OTHERBCBS TENNESSEE
352133OTHERUNITED HEALTH CARE
462308OTHERCIGNA
580705OTHERGREAT WEST
6CDMIOOTHERDELTA MICHIGAN
760054OTHERAETNA
867814OTHERGE FINANCIAL
987726OTHERCIGNA (CRACKER BARREL)
10CDTN1OTHERDELTA TENNESSEE
1110050OTHERCIGNA ( RUBY TUESDAY)
1247009OTHERAMERITUS
1358066OTHERAFLAC
1461271OTHERPRINCIPAL
1570408OTHERFORTIS
1684056OTHERDELTA COLORADO
1794276OTHERDELTA GEORGIA
18CDAR1OTHERDELTA ARKANSAS
19CDMN1OTHERDELTA MINNESOTA

General Provider Information

NPI Number : 1003897190
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL FRANK FREDERICK
Provider Business Mailing Address
First Line : 1514 HATCHER LN
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4825
Country : US
Telephone Number : 931-381-7591
Fax Number :
Provider Business Practice Location Address
First Line : 1514 HATCHER LN
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4825
Country : US
Telephone Number : 931-381-7591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1134100886 — DR. KATHRYN LEIGH FREDERICK
Practice Location Address:
1514 HATCHER LN
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38401-4825
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Practice Location Address:
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1336378827 — SARAH CLAYTON DDS
Practice Location Address:
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1871979781 — ANESTHESIA ASSOCIATES OF COLUMBIA TN LLC
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1801345285 — CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC
Practice Location Address:
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Directions to “ DR. DANIEL FRANK FREDERICK ” Practice Location

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