| Freedom Dental Select De Llc | |
|
19643 Blue Bird Ln Rehoboth Beach DE 19971-6129 | |
| (302) 227-3257 | |
| Not Available |
| Full Name | Freedom Dental Select De Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 19643 Blue Bird Ln, Rehoboth Beach, 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) 299-5617 | Freedom Dental Select De Llc 19643 Blue Bird Ln Rehoboth Beach DE 19971-6129 Ph: (302) 227-3257 |
| NPI Number | 1952289746 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952289746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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