| Dr Jack C Fredrickson, DDS | |
|
1930 Mesquite Ave, Ste. 8, Lake Havasu City, AZ 86403-5674 | |
| (928) 855-4347 | |
| (928) 855-6894 |
| Full Name | Dr Jack C Fredrickson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1930 Mesquite Ave, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427017979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2079 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack C Fredrickson, DDS 2061 Bryce Cir, Lake Havasu City, AZ 86406-8352 Ph: (928) 855-6505 | Dr Jack C Fredrickson, DDS 1930 Mesquite Ave, Ste. 8, Lake Havasu City, AZ 86403-5674 Ph: (928) 855-4347 |
Dr. Landon Allen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1971 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403 Phone: 928-733-6070 | |
Dr. Jesse Wilson Harker, D. D. S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 371 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-855-8333 Fax: 928-855-8333 | |
Dr. Ryan Michael Kurtz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1971 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403 Phone: 928-733-6070 | |
Dr. Ashutosh Kaushesh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403 Phone: 928-854-8540 Fax: 928-854-8541 | |
Dr. Jason Yole, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2167 Birch Square Ste D, Lake Havasu City, AZ 86403 Phone: 928-855-5159 | |
Cameron Lundin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1741 Mesquite Ave Ste 100b, Lake Havasu City, AZ 86403 Phone: 928-855-0556 | |
Dr. Edouard Sorkin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1939 Mcculloch Blvd N, Lake Havasu City, AZ 86403 Phone: 928-855-5041 Fax: 928-855-2757 |