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DR. RYAN FREDERICKSON D.D.S.
NPI 1528351608
Dentist in Grandville, MI

Active since May 23, 2011
3004 28TH ST SW, GRANDVILLE, MI 49418(616) 534-5602 Get Directions Write a Review

NPPES record last updated: May 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ryan Frederickson D.d.s. NPPES

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

DR. RYAN FREDERICKSON D.D.S. (NPI 1528351608) is an individual dentist in Grandville, Michigan, licensed in Michigan (2901020396) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1528351608
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RYAN FREDERICKSONCredential: D.D.S.
Location Address3004 28TH ST SWGrandville, MI 49418-2704
Mailing Address2003 Lakeway AveKalamazoo, MI 49001-5123 · (269) 383-1592
Phone(616) 534-5602
Sole ProprietorYes
Enumeration DateMay 23, 2011
✔ NPI 1528351608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901020396
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.
3004 28TH ST SW, Grandville, MI 49418
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Delta Dental of Michigan.Insurance ›

Other Providers at the Same Location NPPES 2

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

LEE DAVID FREDERICKSON DDS
Dentist
3004 28TH ST SW
GRANDVILLE, MI 49418
Kent County (616) 534-5602
DENT-U-CENTER PC
Dentist
3004 28TH ST SW
GRANDVILLE, MI 49418
Kent County (616) 534-5602

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 Ryan Frederickson's NPI number?

The NPI number for Ryan Frederickson is 1528351608. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Ryan Frederickson located?

Ryan Frederickson practices at 3004 28th St SW, Grandville, MI 49418. The listed phone number is (616) 534-5602.

What is Ryan Frederickson's specialty?

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

What insurance does Ryan Frederickson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Delta Dental of Michigan list Ryan Frederickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Frederickson was last updated on May 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.