NPIMap

Organization Active NPI

Freytag Dental

  • General Practice Dentistry
  • Walbridge, OH
National Provider Identifier
1609094416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21563 Issued in OH
Legal business name
FREYTAG DENTAL
Practice address
403 N Main St
Walbridge, OH 43465-1018
Phone
(419) 666-1776
Fax
(419) 666-7578
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew David Freytag, D.D.S.NPI 1871713396
Title
Dentist
Phone
(419) 666-1776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21563 OH Primary

Addresses

Primary practice location

403 N Main St
Walbridge, OH 43465-1018

Mailing address

403 N Main St
P.O. Box 548
Walbridge, OH 43465-1018
Phone (419) 666-1776

Other names 1

  • Walbridge Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

403 N Main St
Walbridge, OH 43465
Phone (419) 666-1776

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609094416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N MAIN ST",
            "address_2": "P.O. BOX 548",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434651018",
            "telephone_number": "419-666-1776",
            "fax_number": "419-666-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N MAIN ST",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434651018",
            "telephone_number": "419-666-1776",
            "fax_number": "419-666-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREYTAG DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREYTAG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "419-666-1776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walbridge Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walbridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.