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

Dr. Ryan Frederickson, DDS

Individual provider Dentist · NPI 1528351608

Dr. Ryan Frederickson, DDS is a Dentist in Grandville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
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
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901020396 (MI)

Record details

NPI number1528351608
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 23, 2011
Last updated in NPPESMay 23, 2011
Mailing address2003 Lakeway Ave, Kalamazoo, MI 49001-5123

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