Fridgen, Joseph Derek
Fridgen, Joseph Derek is an individual health care provider with primary practice located at 189 N Bascom Ave Ste 200 , San Jose CA 95128-1869. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Fridgen, Joseph Derek can be contacted via phone (408) 286-6315.Contact Information
Primary practice address
189 N Bascom Ave Ste 200
San Jose CA 95128-1869
Phone: (408) 286-6315
Fax: (408) 286-6319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 50909 | California |
Profile Details
| NPI number | 1003980194 |
|---|---|
| LBN Legal business name | Fridgen, Joseph Derek |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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