Provider Demographics
NPI:1205848967
Name:FREEMAN, JOE CHIRS (DDS)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:CHIRS
Last Name:FREEMAN
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 1:1520 RICE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3232
Mailing Address - Country:US
Mailing Address - Phone:903-561-3411
Mailing Address - Fax:903-561-4290
Practice Address - Street 1:1520 RICE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3232
Practice Address - Country:US
Practice Address - Phone:903-561-3411
Practice Address - Fax:903-561-4290
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice