Freedom Dental Select de LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

FREEDOM DENTAL SELECT DE LLC

Practice address

804 S State St
Dover, DE 19901-4123

Phone

(302) 744-9900

NPI assigned

Aug 21, 2025

Organization subpart

Yes

Parent organization

GREEN & ROBINSON DENTAL PCAs reported in NPPES

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

Authorized official

Name

Kyle Green, DDS

Title

Owner

Phone

(302) 563-4599

Specialties & licenses 1

Addresses

Other names 2

• Dr. Emil Tetzner Doing business as
• Periodontal Associates of Delaware Doing business as

Tax ID family

Freedom Dental Select de LLC5 organizations share this tax ID, including this one

Part of

Green Robinson Dental PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Dental Select de LLC

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1659243731
  NPD tax ID
• Freedom Dental Select de LLC

  • Periodontics
  • Wilmington, DE
  • NPI 1669350443
  NPD tax ID
• Freedom Dental Select de LLC

  • Periodontics
  • Newark, DE
  • NPI 1730067513
  NPD tax ID
• Freedom Dental Select de LLC

  • Periodontics
  • Rehoboth Beach, DE
  • NPI 1952289746
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emil William Tetzner, DMD MS

  • Periodontics
  • Dover, DE
  • NPI 1417961400
  NPD (past)

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1083592877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD STE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-299-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014123",
            "telephone_number": "302-744-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DENTAL SELECT DE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN & ROBINSON DENTAL PC",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-563-4599",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Emil Tetzner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Periodontal Associates of Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marita Frazier
• Vivian T Frear, LPC
• Camille Frederick-Goode, NURSING STUDENT
• Freedom Dental Care de LLC
• Freedom Dental Care de LLC
• Freedom Tech, Inc.
• Danielle Freeman, MSOTR/L
• Jason Freeman, PA-C
• Fresenius Medical Care Southern Delaware, LLC
• Fresenius Medical Care Southern Delaware, LLC

• All providers in Dover, DE
• Periodontics in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.