Provider Demographics
NPI:1356463251
Name:FREEMAN AND HENDRICKS DDS
Entity Type:Organization
Organization Name:FREEMAN AND HENDRICKS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-264-1600
Mailing Address - Street 1:8605 NORTH DIXIE DRIVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-2403
Mailing Address - Country:US
Mailing Address - Phone:937-264-1600
Mailing Address - Fax:937-264-9559
Practice Address - Street 1:8605 NORTH DIXIE DRIVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-2403
Practice Address - Country:US
Practice Address - Phone:937-264-1600
Practice Address - Fax:937-264-9559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty