MEDICARE: DR. JOSEPH EDWARD FREW 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
1	1223G0001X	General Practice Dentistry	9779	MD

General Provider Information

NPI Number	:	1912202615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH EDWARD FREW DDS

Provider Business Mailing Address
First Line	:	9604 COLESVILLE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-3144
Country	:	US
Telephone Number	:	301-585-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	9604 COLESVILLE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-3144
Country	:	US
Telephone Number	:	301-585-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2011
Last Update Date	:	01/11/2011

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