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NPI Code Detail

MEDICARE: DR. JOI FREEMONT DDS

MEDICARE:  DR. JOI  FREEMONT  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist11737GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700849080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOI FREEMONT DDS
Provider Business Mailing Address
First Line : 606 S CENTRAL AVE
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1918
Country : US
Telephone Number : 404-761-1659
Fax Number : 404-762-1989
Provider Business Practice Location Address
First Line : 606 S CENTRAL AVE
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1918
Country : US
Telephone Number : 404-761-1659
Fax Number : 404-762-1989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2006
Last Update Date : 04/05/2013

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Directions to “ DR. JOI FREEMONT DDS” Practice Location

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