Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083138820 Individual Practitioner Male Practitioner

Dr. Peter Daniel Fredrickson , DDS

Dentist - General Practice • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Fredrickson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Berkeley, CA. Practice services are available at 2999 REGENT ST STE 714 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2999 Regent St Ste 714

Berkeley, CA 947052122

Telephone 5108483143
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
76 Specialists

Practicing in Berkeley, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 101791

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Maria Fonseca Ricaurte , DDS

Dentist - Prosthodontics

NPI 1568000743

Doctor of Dental Surgery

William Tennant , WILLIAM TENNANT

Dentist - General Practice

NPI 1891870291

WILLIAMTENNANT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2017

Registered at 2999 REGENT ST STE 714, BERKELEY, CA 947052122 (Tel: 5108483143)

📍
Updated Business Mailing Address August 02, 2017

Registered at 2999 REGENT ST STE 714, BERKELEY, CA 947052122

👤
Provider Name / Credentials Updated August 02, 2017

Recorded as PETER FREDRICKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Dentist (License #101791 in CA)

🟢
Initial NPI Registration & Enumeration August 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083138820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2017
Last Update: August 02, 2017
Sole Proprietor: No

Mailing Address

2999 Regent St Ste 714

Berkeley, CA 947052122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.