Ross Tyler Freeman, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN21407 Issued in FL

Practice address

8004 Summerlin Lakes Dr
Fort Myers, FL 33907-1817

Phone

(239) 267-7385

NPI assigned

Jun 16, 2011

Sex

Male

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sage Dental of Fort Myers PLLC

  • Dentist
  • Fort Myers, FL
  • NPI 1316608722
  NPD
• Horizon One Dental LLC

  • General Practice Dentistry
  • Fort Myers, FL
  • NPI 1700015690
  NPD (past)

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1184919250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071817",
            "telephone_number": "239-267-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071817",
            "telephone_number": "239-267-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ROSS",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN21407",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12011644A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Dental of Fort Myers PA
• Freedom Mental Health Services
• Linda F Freeman, M.A., L.M.H.C.
• Olga Freeman, MD
• Richard Freeman II
• Stanley Howard Freeman, M.S., PHARM.D.
• Rebecca Anne Freese, PHARMD
• Jaeden French, RBT
• Stephanie Ann Fretwell, LMHC
• Andrew Frey, DDS

• Oral and Maxillofacial Surgery (Dentist) in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.