Individual provider · Type 1 NPI
Gerald Lee Fedelem, DDS
General Practice Dentistry · Fremont, MI
NPI number
1053363978
Active
Practice location
663 E Main St
Fremont, MI 49412-9708
Mailing address
4410 Delaware Rd
Fremont, MI 49412-9755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2901009935 (MI) |
General Practice Dentistry: 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.
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About NPI 1053363978
Gerald Lee Fedelem, DDS's National Provider Identifier is 1053363978, issued on May 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fremont, MI. The record was last updated on Jul 13, 2026.