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
Mailing address3004 28th St Sw, Grandville, MI 49418-2704

Other providers in Grandville