Provider Demographics
| NPI: | 1417078437 |
|---|---|
| Name: | DR JULIE FREEDMAN DDS PA |
| Entity Type: | Organization |
| Organization Name: | DR JULIE FREEDMAN DDS PA |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | INSURANCE CONSULTANT |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | LOURDES |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MIRABAL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 954-438-3803 |
| Mailing Address - Street 1: | 10978 PEMBROKE RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MIRAMAR |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33025-6540 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 954-438-3803 |
| Mailing Address - Fax: | 954-433-1885 |
| Practice Address - Street 1: | 10978 PEMBROKE RD |
| Practice Address - Street 2: | |
| Practice Address - City: | MIRAMAR |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33025-6540 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 954-438-3803 |
| Practice Address - Fax: | 954-433-1885 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-04-03 |
| Last Update Date: | 2010-09-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | DN0014735 | 122300000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 122300000X | Dental Providers | Dentist | Group - Single Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NJ | 1417078437 | Other | DELTA DENTAL |
| FL | 1417078437 | Other | SEMINOLE TRIBE FL HEALTH PLAN |
| WA | 1417078437 | Other | GUARDIAN |
| VA | 1417078437 | Other | DELTA DENTAL |
| WA | 1417078437 | Other | DELTA DENTAL |
| MA | 1417078437 | Other | DELTA DENTAL |
| PA | 1417078437 | Other | DELTA DENTAL |
| AZ | 1417078437 | Other | DELTA DENTAL |
| IA | 1417078437 | Other | DELTA DENTAL |
| IL | 1417078437 | Other | BLUECROSS BLUESHIELD |
| NM | 1417078437 | Other | BLUECROSS BLUESHIELD |
| NE | 1417078437 | Other | AMERITAS LIFE INSURANCE COMPANY |
| KY | 1417078437 | Other | HUMANA |
| KY | 1417078437 | Other | AETNA |
| RI | 1417078437 | Other | DELTA DENTAL |
| NY | 1417078437 | Other | DELTA DENTAL |
| UT | 1417078437 | Other | UNITED HEALTH CARE |
| IL | 1417078437 | Other | CENTRAL STATES, SE&SW AREAS |
| CO | 1417078437 | Other | PRINCIPLE FINANCIAL GROUP |
| MN | 1417078437 | Other | MERITAIN |
| MI | 1417078437 | Other | DELTA DENTAL |
| AR | 1417078437 | Other | DELTA DENTAL |
| TX | 1417078437 | Other | METLIFE |
| TN | 1417078437 | Other | CIGNA |
| NE | 1417078437 | Other | RELIANCE |
| NE | 1417078437 | Other | STANDARD INSURANCE COMPANY |
| TX | 1417078437 | Other | BLUECROSS BLUESHIELD |
| IA | 1417078437 | Other | MERCER ADMINISTRATION |
| CA | 1417078437 | Other | SAFEGUARD |
| TX | 1417078437 | Other | DELTA DENTAL |
| PA | 1417078437 | Other | UNITED CONCORDEA |
| ID | 1417078437 | Other | DELTA DENTAL |
| NE | 1417078437 | Other | JEFFERSON PILOT FINANCIAL |
| GA | 1417078437 | Other | DELTA DENTAL |
| MN | 1417078437 | Other | DELTA DENTAL |
| IL | 1417078437 | Other | DELTA DENTAL |
| MO | 1417078437 | Other | DELTA DENTAL |
| SC | 1417078437 | Other | FLORIDA COMBINED LIFE |
| MO | 1417078437 | Other | GEHA |
| OK | 1417078437 | Other | BLUECROSS BLUESHIELD |
| IA | 1417078437 | Other | ASSURANCE EMPLOYEE BENEFITS |
| IA | 1417078437 | Other | FORTIS DENTAL |
| CA | 1417078437 | Other | DELTA DENTAL |
| MA | 1417078437 | Other | SUNLIFE FINANCIAL |
| FL | 1417078437 | Other | LINCOLN NATIONAL LIFE |
| IL | 1417078437 | Other | MILITARY MEDICAL SUPPORT OFFICE |
