Dr. Glenn M. Frederick
Dr. Glenn M. Frederick is a General Practice Dentistry in Canterbury, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2007
Practice location Address checks out
37 S Canterbury RdCanterbury, CT 06331-1520
Phone: (860) 546-9434
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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 5093 (CT) |
|---|
Record details
| NPI number | 1174676589 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2007 |
| Last updated in NPPES | July 8, 2007 |