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

Dr. Jack C. Fredrickson, DDS

Individual provider General Practice Dentistry · NPI 1427017979

Dr. Jack C. Fredrickson, DDS is a General Practice Dentistry in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1930 Mesquite Ave Ste 8
Lake Havasu City, AZ 86403-5674
Phone: (928) 855-4347
Fax: (928) 855-6894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2079 (AZ)

Record details

NPI number1427017979
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2061 Bryce Cir, Lake Havasu City, AZ 86406-8352

Other providers in Lake Havasu City