DR. GERALD LEE FEDELEM D.D.S. NPI 1053363978

NPI Information

NPI: 1053363978
Provider Name: DR. GERALD LEE FEDELEM, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
663 E MAIN ST
FREMONT, MI
ZIP 49412
Phone: (231) 924-0790
Get Directions

DR. Gerald Lee Fedelem, D.D.S. is a general practice dentist in Fremont, MI. The provider is 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. DR. Gerald Lee Fedelem, D.D.S. NPI is 1053363978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

663 E MAIN ST
FREMONT, MI
ZIP 49412-708
Phone: (231) 924-0790

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	2901009935	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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