OrganizationActive
Daryl W Frederick DDS PC
NPI 1942354725 · General Practice Dentistry · Jackson, MI
Daryl W Frederick DDS PC is a General Practice Dentistry organization in Jackson, MI (NPI 1942354725).
Provider details
- NPI number
- 1942354725
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Daryl Frederick, Owner(517) 787-5367
- License
- 10125 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2641 Shirley Dr
Jackson, MI 49201-8633
Phone: (517) 787-5367
Fax: (517) 787-4219
Street-level locationGet directions
Mailing address
2641 Shirley Dr
Jackson, MI 49201-8633
Other names (DBA / former)
- Doing business as
- Jackson Center for Cosmetic and Restorative Dentistry
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Daryl W Frederick DDS PC's NPI number?
- Daryl W Frederick DDS PC's National Provider Identifier (NPI) is 1942354725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Daryl W Frederick DDS PC?
- Daryl W Frederick DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Daryl W Frederick DDS PC located?
- Daryl W Frederick DDS PC's practice location on file with NPPES is 2641 Shirley Dr, Jackson, MI 49201-8633.
- What is Daryl W Frederick DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Daryl W Frederick DDS PC is (517) 787-5367.
- Who is the authorized official for Daryl W Frederick DDS PC?
- The authorized official listed on Daryl W Frederick DDS PC's NPPES record is Daryl Frederick, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Daryl W Frederick DDS PC's NPI active?
- Yes — Daryl W Frederick DDS PC's NPI (1942354725) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.