GORDON U FREDEEN D.D.S.,P.A.
NPI 1790858967
Dentist - General Practice in Isanti, MN

Q: What is Gordon Fredeen's NPI number?

The NPI number for Gordon Fredeen is 1790858967. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Gordon Fredeen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Fredeen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2006

401 EAST DUAL BLVD, ISANTI, MN 55040(763) 444-5541(763) 444-5542 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gordon U Fredeen D.d.s.,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON U FREDEEN D.D.S.,P.A. (NPI 1790858967) is an individual general practice provider in Isanti, Minnesota, licensed in Minnesota (8649) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1790858967

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGORDON U FREDEENCredential: D.D.S.,P.A.

Location Address401 EAST DUAL BLVDIsanti, MN 55040

Mailing AddressPo Box 310Isanti, MN 55040-0310 · (763) 444-5541 · Fax (763) 444-5542

Phone(763) 444-5541

Fax(763) 444-5542

Sole ProprietorYes

Enumeration DateNovember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790858967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 8649

Definition

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.

401 EAST DUAL BLVD, Isanti, MN 55040

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY ALBERT BOHNEN DC

Chiropractor

401 EAST DUAL BLVD, BOHNEN CHIROPRACTIC CENTER PA
ISANTI, MN 55040

Isanti County (763) 444-5597

BOHNEN CHIROPRACTIC CENTER P A

Chiropractor

401 EAST DUAL BLVD
ISANTI, MN 55040

Isanti County (763) 444-5597

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 Gordon Fredeen's NPI number?

The NPI number for Gordon Fredeen is 1790858967. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Gordon Fredeen located?

Gordon Fredeen practices at 401 East Dual Blvd, Isanti, MN 55040. The listed phone number is (763) 444-5541.

What is Gordon Fredeen'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 Gordon Fredeen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.