Provider Demographics
NPI:1467538819
Name:FREEMAN, DENNIS MERTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MERTON
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 1:6735 TORYBROOKE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2164
Mailing Address - Country:US
Mailing Address - Phone:248-681-4001
Mailing Address - Fax:
Practice Address - Street 1:32280 5 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-6112
Practice Address - Country:US
Practice Address - Phone:734-425-7010
Practice Address - Fax:734-425-9159
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI00078401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice