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

Dr. Daryl Frederick, DDS

Individual provider Dentist · NPI 1033548474

Dr. Daryl Frederick, DDS is a Dentist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
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

2641 Shirley Dr
Jackson, MI 49201-8633
Phone: (517) 787-5367
Fax: (517) 787-4219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10125 (MI)

Record details

NPI number1033548474
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 6, 2013
Last updated in NPPESNovember 6, 2013
Mailing address2641 Shirley Dr, Jackson, MI 49201-8633

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