Provider Demographics
NPI:1083860985
Name:FREML, LUKE JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:JAMES
Last Name:FREML
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 FLEUR DR
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50321-3105
Mailing Address - Country:US
Mailing Address - Phone:515-287-7773
Mailing Address - Fax:
Practice Address - Street 1:7400 FLEUR DR
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50321-3105
Practice Address - Country:US
Practice Address - Phone:515-287-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL018.0016901223S0112X
IA087941223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery