Frederickson, Lee David
Frederickson, Lee David is an individual health care provider with primary practice located at 3004 28Th St Sw , Grandville MI 49418-2704. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Frederickson, Lee David can be contacted via phone (616) 534-5602.Contact Information
Primary practice address
3004 28Th St Sw
Grandville MI 49418-2704
Phone: (616) 534-5602
Fax: (616) 534-4538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 09607 | Michigan |
Profile Details
| NPI number | 1730302449 |
|---|---|
| LBN Legal business name | Frederickson, Lee David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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