Jack L Freudenfeld Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11179 Issued in TX

Practice address

8325 Walnut Hill LN
Suite 215
Dallas, TX 75231-4208

Phone

(214) 363-1406

Fax

(214) 696-3918

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992824684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN",
            "address_2": "SUITE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314208",
            "telephone_number": "214-363-1406",
            "fax_number": "214-696-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN",
            "address_2": "SUITE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314208",
            "telephone_number": "214-363-1406",
            "fax_number": "214-696-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENFELD",
        "first_name": "JACK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Start Dental PC
• Blair Freshwater
• Marissa Nicole Fretz
• Brian David Freud, PA-C
• Jacob Freudenberger, DO
• Mycah Lea Freudiger
• Berkley Rene Freund, PHARMD
• Kelsey Frey, PHARMD
• Lauren Freymuth, MA, LPC
• Tanasha N Friar

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.