Provider Demographics
NPI:1093033730
Name:FREITAS, MARIA P (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:P
Last Name:FREITAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17-B EAST SCHAUMBURG ROAD
Mailing Address - Street 2:BRUSH & FLOSS LTD
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194
Mailing Address - Country:US
Mailing Address - Phone:847-534-7000
Mailing Address - Fax:
Practice Address - Street 1:17 E SCHAUMBURG RD
Practice Address - Street 2:BUILDING # B
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3545
Practice Address - Country:US
Practice Address - Phone:847-534-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019024061122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist