1. Home
  2. Directory
  3. Michigan
  4. Grandville
  5. Dentist
  6. NPI Profile

LEE DAVID FREDERICKSON DDS
NPI 1730302449
Dentist in Grandville, MI

Active since April 11, 2007
3004 28TH ST SW, GRANDVILLE, MI 49418(616) 534-5602(616) 534-4538 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lee David Frederickson Dds NPPES

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

LEE DAVID FREDERICKSON DDS (NPI 1730302449) is an individual dentist in Grandville, Michigan, licensed in Michigan (09607) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1730302449
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLEE DAVID FREDERICKSONCredential: DDS
Location Address3004 28TH ST SWGrandville, MI 49418-2704
Mailing Address3004 28th St SwGrandville, MI 49418-2704 · (616) 534-5602 · Fax (616) 534-4538
Phone(616) 534-5602
Fax(616) 534-4538
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730302449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 09607
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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.

DR. RYAN FREDERICKSON D.D.S.
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 Lee Frederickson's NPI number?

The NPI number for Lee Frederickson is 1730302449. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Lee Frederickson located?

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

What is Lee Frederickson's specialty?

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

What insurance does Lee Frederickson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Lee 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 Lee Frederickson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.