Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. GERALD LEE FEDELEM D.D.S.
NPI 1053363978
Dentist - General Practice in Fremont, MI

Active since May 17, 2006
663 E MAIN ST, FREMONT, MI 49412(231) 924-0790 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gerald Lee Fedelem D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERALD LEE FEDELEM D.D.S. (NPI 1053363978) is an individual general practice provider in Fremont, Michigan, licensed in Michigan (2901009935) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1053363978
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GERALD LEE FEDELEMCredential: D.D.S.
Location Address663 E MAIN STFremont, MI 49412-9708
Mailing Address4410 Delaware RdFremont, MI 49412-9755 · (231) 924-5454
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1053363978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901009935
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

663 E MAIN ST, Fremont, MI 49412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Fedelem's NPI number?

The NPI number for Gerald Fedelem is 1053363978. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Gerald Fedelem located?

Gerald Fedelem practices at 663 E Main St, Fremont, MI 49412. The listed phone number is (231) 924-0790.

What is Gerald Fedelem's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gerald Fedelem was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.