| Freedom Dental Select De Llc | |
|
58 Omega Dr # F58 Newark DE 19713-2062 | |
| (302) 456-0400 | |
| Not Available |
| Full Name | Freedom Dental Select De Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 58 Omega Dr # F58, Newark, Delaware |
| Authorized Official Name and Position | Kyle Green (OWNER) |
| Authorized Official Contact | 3025634599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Dental Select De Llc 2006 Limestone Rd Ste 5 Wilmington DE 19808-5553 Ph: (302) 239-1757 | Freedom Dental Select De Llc 58 Omega Dr # F58 Newark DE 19713-2062 Ph: (302) 456-0400 |
| NPI Number | 1730067513 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730067513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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