IndividualActive
Gordon Fredeen, D.D.S.,P.A.
NPI 1790858967 · General Practice Dentistry · Isanti, MN
Gordon Fredeen, D.D.S.,P.A. is a General Practice Dentistry provider in Isanti, MN (NPI 1790858967).
Provider details
- NPI number
- 1790858967
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.,P.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8649 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 East Dual Blvd
Isanti, MN 55040
Phone: (763) 444-5541
Fax: (763) 444-5542
Street-level locationGet directions
Mailing address
Po Box 310
Isanti, MN 55040-0310
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gordon Fredeen's NPI number?
- Gordon Fredeen's National Provider Identifier (NPI) is 1790858967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gordon Fredeen's specialty?
- Gordon Fredeen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Gordon Fredeen located?
- Gordon Fredeen's practice location on file with NPPES is 401 East Dual Blvd, Isanti, MN 55040.
- What is Gordon Fredeen's phone number?
- The practice phone number listed in the NPPES registry for Gordon Fredeen is (763) 444-5541.
- Is Gordon Fredeen's NPI active?
- Yes — Gordon Fredeen's NPI (1790858967) is active in the NPPES registry as of the last update on 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.