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NPI Code Detail

MEDICARE: DR. LAWRENCE S. FREEDMAN DDS

MEDICARE: DR. LAWRENCE S. FREEDMAN DDS
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
11223G0001XGeneral Practice Dentistry2901008567MI

General Provider Information

NPI Number : 1780666891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE S. FREEDMAN DDS
Provider Business Mailing Address
First Line : 909 W MAPLE RD
Second Line : SUITE 103
City : CLAWSON
State : MI
Zip : 48017-1000
Country : US
Telephone Number : 248-288-0707
Fax Number : 248-288-6788
Provider Business Practice Location Address
First Line : 909 W MAPLE RD
Second Line : SUITE 103
City : CLAWSON
State : MI
Zip : 48017-1000
Country : US
Telephone Number : 248-288-0707
Fax Number : 248-288-6788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/08/2007

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