Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lee David Frederickson, DDS

Individual provider Dentist · NPI 1730302449

Lee David Frederickson, DDS is a Dentist in Grandville, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3004 28th St SW
Grandville, MI 49418-2704
Phone: (616) 534-5602
Fax: (616) 534-4538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 09607 (MI)

Record details

NPI number1730302449
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 8, 2007

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