Provider Demographics
NPI:1467466094
Name:FREEMAN, DONN B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONN
Middle Name:B
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 1:3518 WADE AVENUE
Mailing Address - Street 2:RIDGEWOOD SHOPPING CENTER
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607
Mailing Address - Country:US
Mailing Address - Phone:919-832-6665
Mailing Address - Fax:919-832-6998
Practice Address - Street 1:3518 WADE AVENUE
Practice Address - Street 2:RIDGEWOOD SHOPPING CENTER
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-832-6665
Practice Address - Fax:919-832-6998
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist