Search › Michigan › 122300000X
Ryan Frederickson, D.D.S
NPI 1528351608 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3004 28th St Sw
Grandville, MI 49418 - Phone
- (616) 534-5602
- Organisation at this address
- Dent-U-Center Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan