Provider Demographics
NPI:1497837579
Name:NEAL S. FREEMAN, DDS, INC.
Entity Type:Organization
Organization Name:NEAL S. FREEMAN, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:S
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-646-2944
Mailing Address - Street 1:39699 CORTE GATA
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4373
Mailing Address - Country:US
Mailing Address - Phone:951-696-1202
Mailing Address - Fax:
Practice Address - Street 1:1202 MARICOPA HWY
Practice Address - Street 2:SUITE D
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3169
Practice Address - Country:US
Practice Address - Phone:805-646-2944
Practice Address - Fax:805-646-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA213671223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty