Individual
DR. RICHARD STEVEN FREDERICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
819 RIVERBEND DR, SUITE B, GADSDEN, AL 35901-2556
(256) 546-9214
(256) 546-0564
Mailing address
819 RIVERBEND DR, SUITE B, GADSDEN, AL 35901-2556
(256) 546-9214
(256) 546-0564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3499
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92286
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/04/2006
Last updated
07/08/2007
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