DR. JACK C. FREDRICKSON D.D.S.
NPI 1427017979
Dentist - General Practice in Lake Havasu City, AZ
About Dr. Jack C. Fredrickson D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK C. FREDRICKSON D.D.S. (NPI 1427017979) is an individual general practice provider in Lake Havasu City, Arizona, licensed in Arizona (2079) and active in the NPI registry since March 2006.
NPPES Registry Identity
Specialties & Licenses
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Fredrickson's NPI number?
The NPI number for Jack Fredrickson is 1427017979. It was assigned to this individual provider in the NPPES registry on March 22, 2006.
Where is Jack Fredrickson located?
Jack Fredrickson practices at 1930 Mesquite Ave Ste. 8, Lake Havasu City, AZ 86403. The listed phone number is (928) 855-4347.
What is Jack Fredrickson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
When was this NPI record last updated?
The NPPES record for Jack Fredrickson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
