| Angela S Frederick, Dmd | |
|
309 E Main St Morehead KY 40351-1659 | |
| (606) 784-6436 | |
| (606) 784-1665 |
| Full Name | Angela S Frederick, Dmd |
|---|---|
| Speciality | Dentist |
| Location | 309 E Main St, Morehead, Kentucky |
| Authorized Official Name and Position | Angela S Frederick (DENTIST) |
| Authorized Official Contact | 6067846436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela S Frederick, Dmd 309 E Main St Morehead KY 40351-1659 Ph: (606) 784-6436 | Angela S Frederick, Dmd 309 E Main St Morehead KY 40351-1659 Ph: (606) 784-6436 |
| NPI Number | 1932570199 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932570199 | NPI | - | NPPES |
| 60002953 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8003 (Kentucky) | Primary |
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