Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERICK MONROE SEVERSON, DDS
Active Sole ProprietorDR. FREDERICK MONROE SEVERSON, DDS is a General Dentistry healthcare provider located in NICOLLET, Minnesota. NPI 1104830231 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NICOLLET, MN
Registration Details
- NPI Number
- 1104830231
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.021880980355 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9188 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 MAIN STREETNICOLLET, MN, 560740009Browse MN providers · Browse ZIP 56074
- Phone
- 5072323481
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.