NPIMap

Organization Active NPI

Freedom Dental Select de LLC

Doing business as Jeffrey E. Felzer DMD

  • Periodontics
  • Wilmington, DE
National Provider Identifier
1669350443
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
FREEDOM DENTAL SELECT DE LLC
Doing business as
Jeffrey E. Felzer DMD
Periodontal Associates of Delaware
Practice address
3105 Limestone Rd Ste 203
Wilmington, DE 19808-2151
Phone
(302) 995-6979
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 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 Aug 21, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

3105 Limestone Rd Ste 203
Wilmington, DE 19808-2151

Mailing address

2006 Limestone Rd Ste 5
Wilmington, DE 19808-5553
Phone (302) 995-6979

Other names 2

  • Jeffrey E. Felzer DMD Doing business as
  • Periodontal Associates of Delaware Doing business as

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

3105 Limestone Rd
Ste 203
Wilmington, DE 19808
Phone (302) 995-6979

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1669350443",
    "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": "302-995-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD STE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082151",
            "telephone_number": "302-995-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DENTAL SELECT DE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN & ROBINSON DENTAL PC",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "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",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey E. Felzer DMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Periodontal Associates of Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 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.