Provider Demographics
NPI:1689166118
Name:DR. FREDERICK D DREHER DDS PC
Entity Type:Organization
Organization Name:DR. FREDERICK D DREHER DDS PC
Other - Org Name:INTEGRATIVE SLEEP CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:DREHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-885-6185
Mailing Address - Street 1:410 ROWLAND ST
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-2684
Mailing Address - Country:US
Mailing Address - Phone:518-885-6185
Mailing Address - Fax:
Practice Address - Street 1:410 ROWLAND ST
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020
Practice Address - Country:US
Practice Address - Phone:518-885-6185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental