Provider Demographics
NPI:1073655635
Name:PAUL H FREEMAN DDS PC
Entity Type:Organization
Organization Name:PAUL H FREEMAN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:404-355-2001
Mailing Address - Street 1:1938 PEACHTREE ROAD NW SUITE 308
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309
Mailing Address - Country:US
Mailing Address - Phone:404-355-2001
Mailing Address - Fax:404-355-6490
Practice Address - Street 1:1938 PEACHTREE ROAD NW SUITE 308
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-355-2001
Practice Address - Fax:404-355-6490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty