Kent Walter Frette, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10703 Issued in MN

Practice address

605 Hillcrest
Suite 200
Owatonna, MN 55060

Phone

(507) 451-6294

Fax

(507) 451-8414

NPI assigned

Nov 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710052659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HILLCREST",
            "address_2": "SUITE 200",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "55060",
            "telephone_number": "507-451-6294",
            "fax_number": "507-451-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HILLCREST",
            "address_2": "SUITE 200",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "55060",
            "telephone_number": "507-451-6294",
            "fax_number": "507-451-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETTE",
        "first_name": "KENT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10703",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38A95FR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Elizabeth Franklin, MSW
• Mary Kathleen Fransen, M.S.W.
• Heather A Frederick, LICSW
• Brooklynn J Fredericksen, LICSW
• Joshua Lee Prince Freitag
• Kiley Friedrichs
• Full Circle Counseling and Wellness, PC
• Sarah Catherine Gantert, MD
• Denise Gardner, LPCC
• Sheena N Gasner, LICSW

• General Practice Dentistry in Owatonna, MN
• Providers in Owatonna, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.