Jack Fredrickson, D.D.S

NPI 1427017979 · on the registry since 2006

Practice

Address: 1930 Mesquite Ave
Ste. 8
Lake Havasu City, AZ 86403
Phone: (928) 855-4347
Fax: (928) 855-6894
Organisation at this address: Cleartone Hearing Center
Dybka Behavioral Health Pllc
Clear Tone Hearing Center, Inc.
Azpen Counseling & Services, Llc
Acacia Hospice Care Of Lake Havasu Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona