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General NPI Number Information
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NPI Number | 1053336305
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Entity Type | Individual
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Provider Name | BRADLEY M. FREY DMD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 218 STERN RD
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City | SEAMAN
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State | OH
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Zip | 45679-9607
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Country | US
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Telephone | 937-386-1379
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Fax | 937-386-0129
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Provider Business Mailing Address
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Address Line | 218 STERN RD
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City | SEAMAN
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State | OH
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Zip | 45679-9607
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Country | US
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Telephone | 937-386-1379
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Fax | 937-386-0129
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D009403
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-10282
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019030138
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2015012813
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN.00202510
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12012453A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6677
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License Number State | OK
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Taxonomy #8
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DB-2023-0243
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License Number State | NM
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Taxonomy #9
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10229
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License Number State | TN
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Taxonomy #10
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS029518L
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License Number State | PA
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Taxonomy #11
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30-02-0786
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License Number State | OH
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Taxonomy #12
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE61031277
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License Number State | WA
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Taxonomy #13
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10389
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License Number State | KY
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Taxonomy #14
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 31782
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License Number State | TX
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