Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023576493 Individual Practitioner Female Practitioner

Lisa Fredrickson

Dentist - General Practice • Windsor, CT

Professional Overview & Biography Verified Profile Summary

Lisa Fredrickson is a registered healthcare professional specializing in Dentist - General Practice in Windsor, CT. Practice services are available at 250 LAMBERTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

250 Lamberton Rd

Windsor, CT 060952149

Telephone 8606883663
Associated Practice Facility / Clinic
🏢 New England Dental Center Facility NPI 1871668731

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Windsor, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Windsor, CT (1821 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

CMS Verified: 2020-08-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 12734

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

27005 76th Ave

New Hyde Park, NY 110401402

Phone: 7184703076

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Janel Johnson , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1326472119

Doctor of Dental Medicine

NPI 1386895803

Doctor of Dental Surgery

Tajesh Gohel

Dentist - General Practice

NPI 1518200955
NPI 1558512061

Doctor of Dental Surgery

NPI 1639320245
NPI 1992275101

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 20, 2020

Registered at 250 LAMBERTON RD, WINDSOR, CT 060952149 (Tel: 8606883663)

📍
Updated Business Mailing Address August 20, 2020

Registered at 79 WRIGHTS POND RD, WESTBROOK, CT 064981458 (Tel: 8605754196)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2020

Dentist (License #12734 in CT)

NPI Profile Active March 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2019

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401402 (Tel: 7184703076)

📍
Updated Business Mailing Address March 05, 2019

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401402 (Tel: 7184703076)

👤
Provider Name / Credentials Updated March 05, 2019

Recorded as LISA FREDRICKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 05, 2019

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: 1023576493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2019
Last Update: August 20, 2020
Sole Proprietor: No

Mailing Address

79 Wrights Pond Rd

Westbrook, CT 064981458

Phone: 8605754196

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.