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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHON KARL FREDERIKSEN, RDH

Active

JONATHON KARL FREDERIKSEN, RDH is a Dental Hygienist healthcare provider located in PECOS, New Mexico. NPI 1912355629 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · PECOS, NM

Registration Details

NPI Number
1912355629
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2016 (10.053208203543 yrs)
Last Updated
Jun 3, 2016
License
DH2815 (NM)

Practice Information

Address
199 HWY 50
PECOS, NM, 87552
Browse NM providers · Browse ZIP 87552
Phone
5057576666
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in PECOS, NM

Name Credential NPI
TAMARA LOUISE DONALD RDH 1760464101
BRENDA CARACHEO RDH 1912443508
STEVEN COLLOTZI RDH 1457897910
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.