MEDICARE: EAST POINT FAMILY DENTAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	122300000X	Dentist

General Provider Information

NPI Number	:	1649601089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST POINT FAMILY DENTAL CENTER, INC.

Provider Business Mailing Address
First Line	:	606 S CENTRAL AVE
Second Line	:
City	:	HAPEVILLE
State	:	GA
Zip	:	30354-1918
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 S CENTRAL AVE
Second Line	:
City	:	HAPEVILLE
State	:	GA
Zip	:	30354-1918
Country	:	US
Telephone Number	:	404-761-1659
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOI FREEMONT
Credential	:	DDS
Telephone Number	:	404-761-1659

Provider Enumeration Date	:	12/11/2013
Last Update Date	:	10/28/2025

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