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Deactivated NPI 1669714804 Deactivated / Inactive NPI Male Practitioner

Dr. Jason Wayne Fredrick , DDS

Dentist • Jupiter, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jason Fredrick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 26, 2013
NPI Deactivation Date October 23, 2025
Total Practice Duration ~12 Years of Practice (2013 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jason Fredrick, DDS was a registered Dentist practicing in Jupiter, FL. Throughout an active medical career spanning 12 years, Dr. Fredrick provided care at the practice location at 10156 W INDIANTOWN RD until profile deactivation on 2025-10-23.

Practice Location & Contact Primary Location

Practice Address

10156 W Indiantown Rd

Jupiter, FL 334784707

Telephone 5617436700
Fax 5617439314
Associated Practice Facility / Clinic
🏢 Fredrick Dental, Pa Facility NPI 1801014410

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jupiter, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Jupiter, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN14300

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Sujay Trivedi , DMD

Dentist - General Practice

NPI 1356909352

Doctor of Dental Medicine

Dr. Janely Pinerofredrick , DDS

Dentist - General Practice

NPI 1821524869

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 23, 2025

Record deactivated on October 23, 2025

NPI Profile Active March 26, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 26, 2013

Registered at 10156 W INDIANTOWN RD, JUPITER, FL 334784707 (Tel: 5617436700)

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Updated Business Mailing Address March 26, 2013

Registered at 10156 W INDIANTOWN RD, JUPITER, FL 334784707 (Tel: 5617436700)

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Provider Name / Credentials Updated March 26, 2013

Recorded as JASON FREDRICK, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2013

Dentist (License #DN14300 in FL)

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Initial NPI Registration & Enumeration March 26, 2013

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: 1669714804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2013
Last Update: March 26, 2013
Deactivation Date: October 23, 2025

Mailing Address

10156 W Indiantown Rd

Jupiter, FL 334784707

Phone: 5617436700

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.