Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750669420 Individual Practitioner Male Practitioner

Dr. Waynerd Bernard Frederickson , DDS

Dentist - General Practice • Stuart, FL

Professional Overview & Biography Verified Profile Summary

Dr. Waynerd Frederickson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stuart, FL. Practice services are available at 6092 SE FEDERAL HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6092 Se Federal Hwy

Stuart, FL 349978101

Telephone 7722882345
Fax 8442696899
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stuart, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Stuart, FL (7473 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: 2024-03-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN23167

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019-028665

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.

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Practice Location March 04, 2024

Registered at 6092 SE FEDERAL HWY, STUART, FL 349978101 (Tel: 7722882345)

📍
Updated Business Mailing Address March 04, 2024

Registered at 13809 IMPERIAL TOPAZ TRL, DELRAY BEACH, FL 334462244 (Tel: 6304181620)

📍
Updated Practice Location October 13, 2019

Registered at 9140 S FEDERAL HWY, PORT ST LUCIE, FL 349523485 (Tel: 7723987790)

📍
Updated Practice Location April 21, 2019

Registered at 2860 S SEACREST BLVD, BOYNTON BEACH, FL 334357935 (Tel: 5617322711)

📍
Updated Practice Location January 02, 2019

Registered at 10196 W SAMPLE RD, CORAL SPRINGS, FL 33065 (Tel: 9547524450)

📍
Updated Business Mailing Address January 02, 2019

Registered at 17694 CADENA DR, BOCA RATON, FL 334961066 (Tel: 6304181620)

📍
Updated Practice Location March 17, 2018

Registered at 1209 W BROWARD BLVD, FORT LAUDERDALE, FL 333121640 (Tel: 9547633358)

📍
Updated Business Mailing Address March 17, 2018

Registered at 1209 W BROWARD BLVD, FORT LAUDERDALE, FL 333121640 (Tel: 9547633328)

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2017

Registered at 1300 W 2ND ST, ROCK FALLS, IL 610711005 (Tel: 8156262230)

📍
Updated Business Mailing Address July 10, 2017

Registered at 1300 W 2ND ST, ROCK FALLS, IL 610711005 (Tel: (815) 626-2230)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as WAYNERD FREDERICKSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Dentist (License #019-028665 in IL)

NPI Profile Active January 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2012

Registered at 115 S GROVE AVE, SUITE 204, ELGIN, IL 601206430 (Tel: 8476081144)

📍
Updated Business Mailing Address January 27, 2012

Registered at 1300 W 2ND ST, ROCK FALLS, IL 610711005 (Tel: 8156262230)

👤
Provider Name / Credentials Updated January 27, 2012

Recorded as WAYNERD FREDERICKSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2012

Dentist (License #019-028665 in IL)

🟢
Initial NPI Registration & Enumeration July 29, 2011

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: 1750669420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2011
Last Update: March 04, 2024
Sole Proprietor: Yes

Mailing Address

13809 Imperial Topaz Trl

Delray Beach, FL 334462244

Phone: 6304181620

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.