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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901009935 (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.