1326351750 NPI number — FREYSMILES ORTHODONTICS

Table of content: (NPI 1326351750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326351750 NPI number — FREYSMILES ORTHODONTICS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FREYSMILES ORTHODONTICS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GREGG T FREY DDS PC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326351750
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1251 S CEDAR CREST BLVD
Provider Second Line Business Mailing Address:
# 210
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18103-6205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-437-4748
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1251 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
# 210
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-437-4748
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FREY
Authorized Official First Name:
GREGG
Authorized Official Middle Name:
Authorized Official Title or Position:
ORTHODONTIST
Authorized Official Telephone Number:
610-437-4748

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  DS018137L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)