Gordon U Fredeen, DDS,PA is a
Dentist - General Practice based in Isanti, Minnesota. Gordon U Fredeen is licensed to practice in Minnesota (license number 8649) and his current practice location is
401 East Dual Blvd, Isanti, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(763) 444-5541.
NPI number for Gordon U Fredeen is 1790858967 and his current mailing address is Po Box 310, Isanti, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790858967.
Healthcare Provider's Profile
| Full Name | Gordon U Fredeen |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 401 East Dual Blvd, Isanti, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790858967
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gordon U Fredeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790858967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 8649 (Minnesota) | 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. Gordon U Fredeen 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 |
|---|
Gordon U Fredeen, DDS,PA
Po Box 310,
Isanti, MN 55040-0310
Ph: (763) 444-5541 | Gordon U Fredeen, DDS,PA
401 East Dual Blvd,
Isanti, MN 55040
Ph: (763) 444-5541 |
Reviews and Comments