Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Janice O. Frederick, DDS, PA

Organization General Practice Dentistry · NPI 1104978279

Janice O. Frederick, DDS, PA is a General Practice Dentistry in Richfield, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6410 Nicollet Ave
Richfield, MN 55423-1613
Phone: (612) 866-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9631 (MN)

Record details

NPI number1104978279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janice Frederick — Owner · (612) 866-7300
NPI enumeratedJanuary 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6410 Nicollet Ave, Richfield, MN 55423-1613

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