Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033548474 Individual Practitioner Male Practitioner

Dr. Daryl Frederick , DDS

Dentist • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Dr. Daryl Frederick, DDS is a registered healthcare professional specializing in Dentist in Jackson, MI. Practice services are available at 2641 SHIRLEY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2641 Shirley Dr

Jackson, MI 492018633

Telephone 5177875367
Fax 5177874219
Associated Practice Facility / Clinic
🏢 Daryl W Frederick Dds Pc Facility NPI 1942354725

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Jackson, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 10125

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1033005582
NPI 1326200924

Doctor of Dental Surgery

NPI 1952617284

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2013

Registered at 2641 SHIRLEY DR, JACKSON, MI 492018633 (Tel: 5177875367)

📍
Updated Business Mailing Address November 06, 2013

Registered at 2641 SHIRLEY DR, JACKSON, MI 492018633 (Tel: 5177875367)

👤
Provider Name / Credentials Updated November 06, 2013

Recorded as DARYL FREDERICK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2013

Dentist (License #10125 in MI)

🟢
Initial NPI Registration & Enumeration November 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033548474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2013
Last Update: November 06, 2013
Sole Proprietor: Yes

Mailing Address

2641 Shirley Dr

Jackson, MI 492018633

Phone: 5177875367

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.