Provider Demographics
NPI:1154511541
Name:FREY, CHRISTINE (DMD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:FREY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 WILLIAMSON SQ
Mailing Address - Street 2:SUITE 1113
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1314
Mailing Address - Country:US
Mailing Address - Phone:615-599-0424
Mailing Address - Fax:
Practice Address - Street 1:113 WILLIAMSON SQ
Practice Address - Street 2:SUITE 1113
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1314
Practice Address - Country:US
Practice Address - Phone:615-599-0424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN84941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice