Active NPI
Fernanda Dante Martinez de Freitas, DDS
- Pediatric Dentistry
- Palm Coast, FL
National Provider Identifier
1982353496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN30464
- Practice address
- 25 Pine Cone Dr Ste 1
Palm Coast, FL 32164-8424 - Phone
- (386) 346-8033
- NPI assigned
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN30464 | FL | Primary |
| Public Health Dentistry | 1223D0001X | DL100752 | MA | |
| Pediatric Dentistry | 1223P0221X | 05306 | NH |
Addresses
Primary practice location
25 Pine Cone Dr Ste 1
Palm Coast, FL 32164-8424
Mailing address
18 Anchorage Rd
Franklin, MA 02038-1538
Phone (832) 709-8416
Other practice location 1
99 Flagler Plaza Dr
Palm Coast, FL 32137-5965
Phone (386) 346-8033
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
| License | State | Type | Specialty |
|---|---|---|---|
| DL100752 | MA | MD | Public Health Dentist |
| DN30464 | FL | MD | Pediatric Dentist |
| 05306 | NH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mattapan Community Health Center Inc | Past | Accepting new patients |
Interoperability endpoints
- ffreitas345661@direct.ochin.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Mattapan, MA
- NPI 1639240393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1982353496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 ANCHORAGE RD",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020381538",
"telephone_number": "832-709-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PINE CONE DR STE 1",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321648424",
"telephone_number": "386-346-8033"
}
],
"practiceLocations": [
{
"address_1": "99 Flagler Plaza Dr",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321375965",
"country_code": "US",
"telephone_number": "386-346-8033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANTE MARTINEZ DE FREITAS",
"first_name": "FERNANDA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN30464",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MA",
"license": "DL100752",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NH",
"license": "05306",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.