Randy Freedline DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

9103 Issued in FL

Legal business name

RANDY FREEDLINE DDS PA

Practice address

2627 NE 203Rd St Ste 212
Aventura, FL 33180-1946

Phone

(305) 932-9202

NPI assigned

Nov 24, 2016

Organization subpart

No

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

Authorized official

Name

Randy Freedline, DDS

Title

President

Phone

(305) 932-9202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479945600000",
    "number": "1679016588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST STE 212",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST STE 212",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801946",
            "telephone_number": "305-932-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY FREEDLINE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-24",
        "last_updated": "2016-11-24",
        "status": "A",
        "authorized_official_last_name": "FREEDLINE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-932-9202",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "9103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Ramirez
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• Dentist in Aventura, FL
• Providers in Aventura, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2016; 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.