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JACKSON CENTER FOR COSMETIC AND RESTORATIVE DENTISTRY
NPI 1942354725
Dentist - General Practice in Jackson, MI

Active since January 22, 2007
2641 SHIRLEY DR, JACKSON, MI 49201(517) 787-5367(517) 787-4219 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Center For Cosmetic And Restorative Dentistry NPPES

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

JACKSON CENTER FOR COSMETIC AND RESTORATIVE DENTISTRY (NPI 1942354725) is a healthcare organization registered as a general practice in Jackson, Michigan and active in the NPI registry since January 2007. The organization lists Daryl William Frederick, Owner, as its authorized official.

NPPES Registry Identity

NPI1942354725
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDARYL W FREDERICK DDS PC
Location Address2641 SHIRLEY DRJackson, MI 49201-8633
Mailing Address2641 Shirley DrJackson, MI 49201-8633 · (517) 787-5367 · Fax (517) 787-4219
Phone(517) 787-5367
Fax(517) 787-4219
Organization SubpartNo
Authorized OfficialDaryl William FrederickOwner · (517) 787-5367
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942354725 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 · 10125
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.
2641 SHIRLEY DR, Jackson, MI 49201
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Other Names 1

Doing Business AsJackson Center For Cosmetic And Restorative Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. DARYL FREDERICK DDS
Dentist
2641 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-5367
MICHIGAN DENTISTS PLLC
Dentist (General Practice)
2641 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-5367
WILLIAM AUGUSTO BUURMA DDS
Dentist (General Practice)
2641 SHIRLEY DR
JACKSON, MI 49201
Jackson County (941) 840-2092
DR. FIRAS WAFIQ BELBEISI D.D.S.
Dentist
2641 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-5367

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 Daryl W Frederick Dds PC's NPI number?

The NPI number for Daryl W Frederick Dds PC is 1942354725. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Jackson Center For Cosmetic And Restorative Dentistry.

Where is Daryl W Frederick Dds PC located?

Daryl W Frederick Dds PC is located at 2641 Shirley Dr, Jackson, MI 49201. The listed phone number is (517) 787-5367.

What is Daryl W Frederick Dds PC'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 Daryl W Frederick Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.