Individual
JAMES R FRICTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3475 PLYMOUTH BLVD STE 200, PLYMOUTH, MN 55447-1539
(763) 577-2484
Mailing address
3475 PLYMOUTH BLVD STE 200, PLYMOUTH, MN 55447-1539
(763) 577-2484
(763) 577-1375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9054
MN
1223X2210X
Orofacial Pain Dentistry
Primary
D9054
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3D757FR
BLUE CROSS
MN
01
—
434102
MEDICA
MN
Enumeration date
07/10/2006
Last updated
07/17/2024
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