Dr Glenn M Frederick, is a
Dentist - General Practice based in Canterbury, Connecticut. Dr Glenn M Frederick is licensed to practice in Connecticut (license number 5093) and his current practice location is
37 S Canterbury Rd, Canterbury, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 546-9434.
NPI number for Dr Glenn M Frederick is 1174676589 and his current mailing address is Po Box 487, Canterbury, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174676589.
Healthcare Provider's Profile
Full Name | Dr Glenn M Frederick |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 37 S Canterbury Rd, Canterbury, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174676589
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Glenn M Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174676589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5093 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn M Frederick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Glenn M Frederick, Po Box 487, Canterbury, CT 06331-0487 Ph: (860) 608-2334 | Dr Glenn M Frederick, 37 S Canterbury Rd, Canterbury, CT 06331-1520 Ph: (860) 546-9434 |
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