Joi Freemont, DDS
Individual provider Active NPI Dentist · Hapeville, GA
NPI 1700849080 · NPPES record last updated Apr 5, 2013
Key facts
- NPI
- 1700849080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11737 (GA)
- Practice address
- 606 S Central Ave
Hapeville, GA 30354-1918 - Phone
- (404) 761-1659
- Fax
- (404) 762-1989
- NPI assigned
- Apr 8, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11737 | GA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11737 | GA | Yes |
Addresses
Primary practice location
606 S Central Ave
Hapeville, GA 30354-1918
Mailing address
606 S Central Ave
Hapeville, GA 30354-1918
Phone (404) 761-1659
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00751363A | Medicaid | GA |
Other providers in Hapeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2013. 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.