Individual
DR. NICHOLAS ANTHONY FREDERICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
120 BOVARD ST, YERINGTON, NV 89447-2437
(775) 463-1800
(775) 463-4810
Mailing address
120 BOVARD ST, YERINGTON, NV 89447-2437
(775) 463-1800
(775) 463-4810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016140
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493729
—
OH
01
—
196764
UNITED CONCORDIA INS. ID#
OH
01
—
341352009
DELTA DENTAL INS PROV. ID
OH
05
—
341352009027
—
OH
Enumeration date
04/24/2007
Last updated
07/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us