Thomas M Fredal DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THOMAS M FREDAL DDS, PC

Practice address

7777 25 Mile Rd
Shelby TWP, MI 48316-1811

Phone

(586) 731-8338

Fax

(586) 731-6197

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Thomas Michael Fredal, DDSNPI 1386740991

Title

President

Phone

(586) 731-8338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Michael Fredal, DDS

  • Dentist
  • Shelby TWP, MI
  • NPI 1386740991
  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1750008918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 25 MILE RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161811",
            "telephone_number": "586-731-8338",
            "fax_number": "586-731-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 25 MILE RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161811",
            "telephone_number": "586-731-8338",
            "fax_number": "586-731-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M FREDAL DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "FREDAL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-731-8338",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.