Freedom Dental Select de LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

FREEDOM DENTAL SELECT DE LLC

Doing business as

Dr. Emil Tetzner
Periodontal Associates of Delaware

Practice address

19643 Blue Bird LN
Rehoboth Beach, DE 19971-6129

Phone

(302) 227-3257

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

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

Addresses

Other names 2

• Dr. Emil Tetzner Doing business as
• Periodontal Associates of Delaware Doing business as

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.

• Freedom Dental Select de LLC

  dba Dr. Emil Tetzner

  • Periodontics
  • Dover, DE
  • NPI 1083592877
  NPD tax ID
• Freedom Dental Select de LLC

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1659243731
  NPD tax ID
• Freedom Dental Select de LLC

  dba Jeffrey E. Felzer DMD

  • Periodontics
  • Wilmington, DE
  • NPI 1669350443
  NPD tax ID
• Freedom Dental Select de LLC

  dba Jeffrey E Felzer DMD

  • Periodontics
  • Newark, DE
  • NPI 1730067513
  NPD tax ID

Locations

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": "1952289746",
    "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": "302-299-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19643 BLUE BIRD LN",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716129",
            "telephone_number": "302-227-3257"
        }
    ],
    "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": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Emil Tetzner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Periodontal Associates of Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Finkbeiner
• Andrew H Fitzkee, P.A.
• Erin Fletcher, DO
• Stacey G. Fox, MD
• Douglas Lee Fraser, PHARMACIST
• Fresenius Medical Care Southern Delaware, LLC (Fresenius Medical Care Rehoboth)
• Scott Jacob Fudemberg, M.D.
• Dawnyel Furlong
• Kimberly D. Furtado, N.D.
• Sarah Jane Garraty, NURSE PRACTITIONER

• Periodontics in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Periodontics in Delaware

• 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.