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Brent Fredrickson, DDS — NPI 1578601449, St Paul, MN | NPI Central

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NPI 1578601449

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Brent Fredrickson, DDS

NPI 1578601449 · Dentist · St Paul, MN

Provider details

NPI number: 1578601449
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: D11125 (MN)

Specialties & taxonomies

DentistPrimary122300000XLicense D11125 (MN)
Dental Providers

Practice location

1651 N Dale Street

St Paul, MN 55117

Phone: (651) 488-5888

Fax: (651) 488-8425

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

1651 N Dale Street

St Paul, MN 55117

Registry dates

Enumerated: 2007-02-02
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.