Saman M Freedman DMD LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SAMAN M FREEDMAN DMD LLC

Practice address

1333 3Rd Ave S Ste 401
Naples, FL 34102-6535

Phone

(813) 679-5276

Fax

(813) 433-5481

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Sophia Weaver, BILLER

Title

Biller

Phone

(813) 679-5276

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saman m Freedman DMD LLC Doing business as

Locations

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1073080396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 3RD AVE S STE 401",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026535",
            "telephone_number": "813-679-5276",
            "fax_number": "813-433-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 3RD AVE S STE 401",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026535",
            "telephone_number": "813-679-5276",
            "fax_number": "813-433-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMAN M FREEDMAN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "813-679-5276",
        "authorized_official_credential": "BILLER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629269923",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saman m Freedman DMD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sams Club Optical
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• Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.