Provider Type Icon

MICHAEL L. FREID NPI 1588765077


NPI Information

NPI: 1588765077
Provider Name: MICHAEL L. FREID
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
225 N NOTRE DAME AVE
SOUTH BEND, IN
ZIP 46617
Phone: (574) 232-4868
Get Directions

MICHAEL L. FREID is an oral and maxillofacial surgery dentist in South Bend, IN. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MICHAEL L. FREID NPI is 1588765077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

225 N NOTRE DAME AVE
SOUTH BEND, IN
ZIP 46617-839
Phone: (574) 232-4868
Fax: (574) 232-4869

The provider's authorized official is Michael L Freid .
The authorized official title is President and has the following contact phone number (574) 232-4868.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery12006859AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100220550MEDICAIDINDIANA
2727870MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.