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

Daryl W Frederick DDS PC

Organization General Practice Dentistry · NPI 1942354725

Daryl W Frederick DDS PC is a General Practice Dentistry in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2641 Shirley Dr
Jackson, MI 49201-8633
Phone: (517) 787-5367
Fax: (517) 787-4219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10125 (MI)

Record details

NPI number1942354725
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daryl Frederick — Owner · (517) 787-5367
Other names Jackson Center For Cosmetic And Restorative Dentistry
NPI enumeratedJanuary 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2641 Shirley Dr, Jackson, MI 49201-8633

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