Provider Demographics
NPI:1861005613
Name:FREITAS, HUNTER (DMD)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:
Last Name:FREITAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 KAY ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-2131
Mailing Address - Country:US
Mailing Address - Phone:843-845-7610
Mailing Address - Fax:
Practice Address - Street 1:419 WOOD ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-3579
Practice Address - Country:US
Practice Address - Phone:843-545-1295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-30
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC97061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice