Maria Freije
Individual provider Active NPI Dentist · Newport, VT
NPI 1457040974 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1457040974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0160134155 (VT)
- Practice address
- 494 Highland Ave
Newport, VT 05855-4919 - Phone
- (802) 334-1400
- NPI assigned
- May 1, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0160134155 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermont Family Dental PLC | Current |
Accepting new patients | |
| Newport Family Dental, PLC | Past |
Accepting new patients |
Locations
494 Highland Ave
Newport, VT 05855
Phone (802) 238-0492
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0160134155 | VT | Yes |
Addresses
Primary practice location
494 Highland Ave
Newport, VT 05855-4919
Mailing address
494 Highland Ave
Newport, VT 05855-4919
Phone (802) 334-1400
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.