Healthcare Provider Details
I. General information
NPI: 1538161310
Provider Name (Legal Business Name): BRYAN C. FREEMAN AND CHERYL G. FREEMAN, DDS.,PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
134 DAVIS ST.
ASHEBORO NC
27203
US
IV. Provider business mailing address
134 DAVIS ST.
ASHEBORO NC
27203
US
V. Phone/Fax
- Phone: 336-625-3292
- Fax: 336-629-3781
- Phone: 336-625-3292
- Fax: 336-629-3781
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | NC |
VIII. Authorized Official
Name:
SHARON
ROBBINS
Title or Position: OFFICE MANAGER
Credential:
Phone: 336-625-3292