Healthcare Provider Details

I. General information

NPI: 1699799486
Provider Name (Legal Business Name): RONAN JOHN FREYNE D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RONAN JOHN FREYNE D.M.D.

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WISCONSIN CIR STE 620
CHEVY CHASE MD
20815-7046
US

IV. Provider business mailing address

2 WISCONSIN CIR STE 620
CHEVY CHASE MD
20815-7046
US

V. Phone/Fax

Practice location:
  • Phone: 301-986-0700
  • Fax: 301-986-0709
Mailing address:
  • Phone: 301-986-0700
  • Fax: 301-986-0709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number13813
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: