Active NPI
Theodore Douglas Freeland, DDS MS PC
- Dentist
- Gaylord, MI
National Provider Identifier
1295821650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9938
- Practice address
- 801 East M 32
Gaylord, MI 49735 - Phone
- (989) 732-7539
- Fax
- (989) 732-9316
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9938 | MI | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 755 | MI |
Addresses
Primary practice location
801 East M 32
Gaylord, MI 49735
Mailing address
801 East M 32
Gaylord, MI 49735
Phone (989) 732-7539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9938 | MI | MD | Dentist |
| 755 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295821650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 EAST M 32",
"city": "GAYLORD",
"state": "MI",
"postal_code": "49735",
"telephone_number": "989-732-7539",
"fax_number": "989-732-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 EAST M 32",
"city": "GAYLORD",
"state": "MI",
"postal_code": "49735",
"telephone_number": "989-732-7539",
"fax_number": "989-732-9316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREELAND",
"first_name": "THEODORE",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DDS MS PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "9938",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "755",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.