Fredrick J. Platt, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25670 Issued in TX

Legal business name

FREDRICK J. PLATT, DDS, PLLC

Practice address

2020 Lindbergh Dr
Tyler, TX 75703-1714

Phone

(903) 592-7111

Fax

(903) 535-9210

NPI assigned

Jul 3, 2012

Last updated

Jun 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fredrick Joseph Platt, DDSNPI 1154632776

Title

Owner

Phone

(903) 592-7111

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fredrick Joseph Platt, D.D.S.

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1154632776
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1417211525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 LINDBERGH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031714",
            "telephone_number": "903-592-7111",
            "fax_number": "903-535-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 LINDBERGH DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031714",
            "telephone_number": "903-592-7111",
            "fax_number": "903-535-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICK J. PLATT, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-592-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25670",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3153009-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3153009-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Marie Frazier, M.D.
• Molly Frazier
• Fred Kersh DO PA
• Wendy L Freden, PA
• Bailey Fredenburg
• Sheldon Ygnacio Freeberg, M.D.
• Cassandra Fay Freeland, MSN, APRN, FNP-BC
• Fraquania Talesh Freeman, APRN
• L Don Freeman, M.D.
• Michelle Lee Freeze, DC

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.