Provider Demographics
NPI:1275810970
Name:FREY, FAYE MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:FAYE
Middle Name:MARIE
Last Name:FREY
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 1:786 PEACH ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4445
Mailing Address - Country:US
Mailing Address - Phone:615-430-3753
Mailing Address - Fax:
Practice Address - Street 1:2300 21ST AVE S
Practice Address - Street 2:SSUIT 101
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4968
Practice Address - Country:US
Practice Address - Phone:615-385-3333
Practice Address - Fax:615-385-1919
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3382122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist