# FREDERICK J REGENNITTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992776512
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D11512 | MN | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | D11512 | MN | — |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 03/24/2023