Frederic B. Slete, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013512 Issued in MI

Practice address

306 W Washington Ave
Suite 205
Jackson, MI 49201-2169

Phone

(517) 787-5055

Fax

(517) 787-9346

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederic B Slete D.D.S.,PC

  • General Practice Dentistry
  • Jackson, MI
  • NPI 1740379015
  NPD (past) Authorized official
• Dentistry by Design of Jackson, PLC

  • Dentist
  • Jackson, MI
  • NPI 1396276333
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1376632737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON AVE",
            "address_2": "SUITE 205",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012169",
            "telephone_number": "517-787-5055",
            "fax_number": "517-787-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON AVE",
            "address_2": "SUITE 205",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012169",
            "telephone_number": "517-787-5055",
            "fax_number": "517-787-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLETE",
        "first_name": "FREDERIC",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Slaby, LLMSW
• Sarah Renee Slagter
• Wassem Mohamad Slaibe, RPH
• Amber Lynn Slater
• Rhonda J Sledge, CRNA
• Eric Slisher, LPC
• Aleesha Smak, WHNP-BC
• Edward Adam Smak, RN
• John F Smarch, D.C.
• Patrick Richard Smarch, DC

• General Practice Dentistry in Jackson, MI
• Providers in Jackson, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.