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SANDRA FREDERICK D.D.S
NPI 1053729921
Dentist in Saint Clair Shores, MI

Active since July 23, 2014
31245 HARPER AVE, SAINT CLAIR SHORES, MI 48082(586) 783-5505 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Frederick D.d.s NPPES

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

SANDRA FREDERICK D.D.S (NPI 1053729921) is an individual dentist in Saint Clair Shores, Michigan, licensed in Michigan (2901021335) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1053729921
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSANDRA FREDERICKCredential: D.D.S
Location Address31245 HARPER AVESaint Clair Shores, MI 48082-1401
Mailing Address1532 W 13 Mile RdRoyal Oak, MI 48073-4504 · (586) 873-5505
Phone(586) 783-5505
Sole ProprietorYes
Enumeration DateJuly 23, 2014
✔ NPI 1053729921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901021335
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
31245 HARPER AVE, Saint Clair Shores, MI 48082
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGHT SIDE DENTAL-ST. CLAIR SHORES PLLC
Dentist (General Practice)
31245 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Macomb County (586) 439-2940
JAMES ARTHUR GUEST DDS
Dentist (General Practice)
31245 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Macomb County (586) 200-4522
DR. JOELLE ABED ELAHAD DDS
Dentist
31245 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Macomb County (586) 439-2940

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 Sandra Frederick's NPI number?

The NPI number for Sandra Frederick is 1053729921. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Sandra Frederick located?

Sandra Frederick practices at 31245 Harper Ave, Saint Clair Shores, MI 48082. The listed phone number is (586) 783-5505.

What is Sandra Frederick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Sandra Frederick was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.