Nicholas A. Fredericka D.m.d. Inc.

NPI #1013136746 in Niles, Ohio

Provider Information

NPI Number: 1013136746
Entity Type: Organization
Organization Name: Nicholas A. Fredericka D.m.d. Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 822 ROBBINS AVE
City: Niles
State: Ohio
ZIP Code: 44446-2432
Phone: (330) 652-6500

Authorized Official

Name: DR. NICHOLAS ANTHONY FREDERICKA, D.M.D
Title: PRESIDENT
Phone: (330) 652-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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