FREEDOM DENTAL SELECT DE LLC NPI 1730067513

NPI Information

  • NPI: 1730067513
  • Provider Name: FREEDOM DENTAL SELECT DE LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 58 OMEGA DR # F58
    NEWARK, DE
    ZIP 19713
  • Phone: (302) 456-0400

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NPI Details

FREEDOM DENTAL SELECT DE LLC is a periodontics dentist in Newark, DE. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. FREEDOM DENTAL SELECT DE LLC NPI is 1730067513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

58 OMEGA DR # F58
NEWARK, DE
ZIP 19713-062
Phone: (302) 456-0400

The provider's authorized official is Kyle Green .
The authorized official title is Owner and has the following contact phone number (302) 563-4599.

The enumeration date for this NPI number is 8/21/2025 and was last updated on 8/21/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

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: 3/30/2025

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