Organization Active NPI

Freedom Dental Select de LLC

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1659243731
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FREEDOM DENTAL SELECT DE LLC
Practice address
2304 Concord Pike
Wilmington, DE 19803-2912
Phone
(302) 469-4699
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GREEN & ROBINSON DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kyle Green
Title
Owner
Phone
(302) 563-4599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2304 Concord Pike
Wilmington, DE 19803-2912

Mailing address

2006 Limestone Rd Ste 5
Wilmington, DE 19808-5553
Phone (302) 299-5617

National Provider Directory

National Provider Directory
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.

Locations

2304 Concord Pike
Wilmington, DE 19803
Phone (302) 469-4699

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1659243731",
    "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": "2304 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032912",
            "telephone_number": "302-469-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DENTAL SELECT DE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN & ROBINSON DENTAL PC",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.