Lee David Frederickson in Grandville - Dentist
Lee David Frederickson - NPI 1730302449
Lee David Frederickson is a Dentist in Grandville, Michigan. Lee David Frederickson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lee David Frederickson is 1730302449. The last update date is 2007-07-08.
Lee David Frederickson's current location address is 3004 28th St Sw, Grandville, Michigan. You can contact this provider via phone number 6165345602 and fax number 6165344538. The mailing address for Lee David Frederickson is 3004 28th St Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee David Frederickson |
|---|---|
| Address | 3004 28th St Sw, Grandville, Michigan |
| Phone Number | 6165345602 |
| Fax Number | 6165344538 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1730302449 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3004 28th St Sw |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 494182704 |
| Phone Number | 6165345602 |
| Fax Number | 6165344538 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9607 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Lee David Frederickson by the Centers for Medicare & Medicaid Services?
The Lee David Frederickson has been assigned the NPI (National Provider Identifier) 1730302449 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lee David Frederickson is located?
The Lee David Frederickson is situated at the following address: 3004 28Th St Sw, Grandville, MI, 494182704.
What is Lee David Frederickson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lee David Frederickson's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Lee David Frederickson receive its 1730302449 assignment from the Centers for Medicare & Medicaid Services?
The Lee David Frederickson was assigned its 1730302449 on 2007-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lee David Frederickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lee David Frederickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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