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NPI Code Detail

MEDICARE: FREEMAN DENTAL ASSOCIATES OF ABINGTON, P.C.

MEDICARE: FREEMAN DENTAL ASSOCIATES OF ABINGTON, P.C.
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
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11407063589OTHERNPI

General Provider Information

NPI Number : 1861990236
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREEMAN DENTAL ASSOCIATES OF ABINGTON, P.C.
Provider Business Mailing Address
First Line : 86 BATES WAY
Second Line :
City : HANOVER
State : MA
Zip : 02339-1592
Country : US
Telephone Number : 617-699-6801
Fax Number :
Provider Business Practice Location Address
First Line : 673 BEDFORD ST
Second Line :
City : ABINGTON
State : MA
Zip : 02351-1921
Country : US
Telephone Number : 617-699-6801
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. BRANDON FREEMAN
Credential :
Telephone Number : 617-699-6801
Provider Enumeration Date : 01/31/2018
Last Update Date : 06/16/2018

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