Provider Demographics
NPI:1790952513
Name:FREEDMAN, BRET DANIEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:DANIEL
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5488 CHAMBLEE DUNWOODY RD STE 8
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4161
Mailing Address - Country:US
Mailing Address - Phone:678-745-5388
Mailing Address - Fax:678-745-5387
Practice Address - Street 1:5488 CHAMBLEE DUNWOODY RD STE 8
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338
Practice Address - Country:US
Practice Address - Phone:678-745-5388
Practice Address - Fax:678-745-5387
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0137861223X0400X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics