Individual provider Active NPI

Craig Robert Freccero, D.M.D.

  • Endodontics
  • Roswell, GA
National Provider Identifier
1821049578
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN123972 Issued in GA
Practice address
10800 Alpharetta Hwy Ste 180
Roswell, GA 30076-1463
Phone
(470) 205-1928
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN123972 GA Primary

Addresses

Primary practice location

10800 Alpharetta Hwy Ste 180
Roswell, GA 30076-1463

Mailing address

903 Huff Rd NW Unit 2303
Atlanta, GA 30318-4657
Phone (470) 205-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN123972GAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1821049578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 HUFF RD NW UNIT 2303",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184657",
            "telephone_number": "470-205-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 ALPHARETTA HWY STE 180",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761463",
            "telephone_number": "470-205-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRECCERO",
        "first_name": "CRAIG",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN123972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.