Michelle L. Freeze, DMD, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21635 Issued in TX

Legal business name

MICHELLE L. FREEZE, DMD, PLLC

Practice address

4308 N. Quinlan Park Rd
Ste 201
Austin, TX 78732

Phone

(512) 266-7200

Fax

(512) 266-6197

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle L Freeze, DMD

Title

Owner, Pediatric Dentist

Phone

(512) 266-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Michelle L Freeze DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rising Stars Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Austin, TX
  • NPI 1730282633
  NPD tax ID

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912025354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 LAKELINE MALL DR",
            "address_2": "STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78717",
            "telephone_number": "512-266-7200",
            "fax_number": "512-583-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N. QUINLAN PARK RD",
            "address_2": "STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78732",
            "telephone_number": "512-266-7200",
            "fax_number": "512-266-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L. FREEZE, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEZE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "512-266-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1620639",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Michel
• Michele K. Moore, D.C.,P.C.
• Michele Ranta Strait DDS PC
• Michele Souza DDS PLLC
• Michelle Hedgecock DDS PLLC
• Michelle Marshall Psychiatry Services
• Michelle Pillepich Nutrition
• Michelle Zee Enterprises LLC
• Shery. Diane Michels, M.D.
• Makayla Michelsen

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.