Provider Demographics
NPI:1528282431
Name:ASUNCION, FREDERICK JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:JOHN
Last Name:ASUNCION
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 GUILFORD DR STE 205
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-5217
Mailing Address - Country:US
Mailing Address - Phone:301-690-8482
Mailing Address - Fax:301-620-7166
Practice Address - Street 1:7101 GUILFORD DR STE 205
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5217
Practice Address - Country:US
Practice Address - Phone:301-690-8482
Practice Address - Fax:301-620-7166
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11637122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist