Healthcare Provider Details

I. General information

NPI: 1497837579
Provider Name (Legal Business Name): NEAL S. FREEMAN, DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 MARICOPA HWY SUITE D
OJAI CA
93023-3169
US

IV. Provider business mailing address

39699 CORTE GATA
MURRIETA CA
92562-4373
US

V. Phone/Fax

Practice location:
  • Phone: 805-646-2944
  • Fax: 805-646-2206
Mailing address:
  • Phone: 951-696-1202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number21367
License Number StateCA

VIII. Authorized Official

Name: DR. NEAL S FREEMAN
Title or Position: OWNER
Credential: DDS
Phone: 805-646-2944