Fredia Renay Freeman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS4612 Issued in TN

Practice address

2776 Ringgold Road
USA Dentac
Ft. Sill, OK 73503

Phone

(580) 442-3905

Fax

(580) 442-4002

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1063654028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 RINGGOLD ROAD",
            "address_2": "USA DENTAC",
            "city": "FT. SILL",
            "state": "OK",
            "postal_code": "73503",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 RINGGOLD ROAD",
            "address_2": "USA DENTAC",
            "city": "FT. SILL",
            "state": "OK",
            "postal_code": "73503",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "FREDIA",
        "middle_name": "RENAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS4612",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008004763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Fountain, DDS
• Amanda Fox, PA
• Elio Franco, PTA
• Kathryn Frank
• Robert John Frank, DDS
• Randall Freeman
• Elena Gabriela Furdui-Carr, DDS
• Matthew Gaines, PA-C
• Michael Baxter Galloway, PHARM D
• Fernando E Gamoneda, MD

• Dentist in Ft. Sill, OK
• Providers in Ft. Sill, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.