Provider Demographics
NPI:1942258041
Name:CLAUS, FREDERICK R (DMD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:R
Last Name:CLAUS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 PINE CREEK RD
Mailing Address - Street 2:SUITE #203
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9366
Mailing Address - Country:US
Mailing Address - Phone:412-635-9155
Mailing Address - Fax:412-635-9156
Practice Address - Street 1:52 PINE CREEK RD
Practice Address - Street 2:SUITE #203
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9366
Practice Address - Country:US
Practice Address - Phone:412-635-9155
Practice Address - Fax:412-635-9156
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-027864L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice