DR. THOMAS MICHAEL FREDAL JR. (NPI# 1750858478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750858478 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MICHAEL FREDAL JR. |
| Credential | DDS |
| Practice Address |
45428 Van Dyke Ave Utica MI 48317-5676 |
| Practice Telephone | 5867318338 |
| Practice Fax Number | 5867316197 |
| Mailing Telephone | 5867318338 |
| Mailing Fax Number | 5867316197 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901022558 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386740991 | Thomas Michael Fredal | Dentist | 45428 Van Dyke, Utica, MI 48317 | 2006-09-15 |
| Street Address |
45428 VAN DYKE AVE |
| City | UTICA |
| State | MI |
| Zip Code | 48317-5676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265967483 | Rami Koro | Dentist | 2937 N State Route 178, Utica, IL 61373-9011 | 2017-04-25 |
| 1821545385 | Shashi Naresh Shah | Dentist | 2937 N Il-178, Utica, IL 61373 | 2016-09-01 |
| 1871915397 | Central Mississippi Outreach, LLC | Dentist | 2160 D Newman Rd, Utica, MS 39175-9039 | 2014-01-17 |
| 1174833396 | Martha L Lewis | Dentist | 105 Main Street E, Utica, MS 39175 | 2010-10-21 |
| 1154641652 | Jenny Huang Le | Dentist | 1625 Genesee St, Utica, NY 13501-4732 | 2010-06-07 |
| 1972821056 | Frederick S. Brady Sr. | Dentist | 2313 Genesse St., Utica, NY 13501 | 2010-05-13 |
| 1538307301 | Anthony Joseph Falcone | Dentist | 1213 Pleasant St, Utica, NY 13501-5806 | 2009-02-01 |
| 1205002474 | Christie Ann-rosenberry Damm | Dentist | 45569 Van Dyke, Utica, MI 48317 | 2008-05-07 |
| 1538342191 | Keena Brittingham | Dentist | 224 N Genesee St, Utica, NY 13502-2529 | 2007-12-06 |
| 1487847661 | Gordon James Ruff | Dentist | 2058 Genesee St, Utica, NY 13502 | 2007-08-22 |
| Find all providers in UTICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.