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ROGER E FREILICH DMD NPI 1053441717


NPI Information

NPI: 1053441717
Provider Name: ROGER E FREILICH, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2560 RCA BLVD
SUITE 102
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 622-9065
Get Directions

Roger E Freilich, DMD is an oral and maxillofacial surgery dentist in Palm Beach Gardens, FL. 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. Roger E Freilich, DMD NPI is 1053441717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2560 RCA BLVD
SUITE 102
PALM BEACH GARDENS, FL
ZIP 33410-338
Phone: (561) 622-9065
Fax: (561) 622-9081

The enumeration date for this NPI number is 3/6/2007 and was last updated on 10/18/2010.


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 Surgery6795FLORIDAYes

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
159-2050698OTHERFLORIDATAX ID#
2T55231MEDICARE UPINFLORIDA
385537MEDICARE PINFLORIDA

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

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