Healthcare Provider Details

I. General information

NPI: 1568381556
Provider Name (Legal Business Name): ARIELLE E FREED, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SAN MIGUEL DR
WALNUT CREEK CA
94596-8606
US

IV. Provider business mailing address

1324 W MORNINGSIDE DR
BURBANK CA
91506-3020
US

V. Phone/Fax

Practice location:
  • Phone: 626-696-9973
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number
License Number State

VIII. Authorized Official

Name: ARIELLE FREED
Title or Position: PRESIDENT/INCORPORATOR
Credential: DDS
Phone: 626-696-9973