Provider Demographics
NPI:1922238427
Name:FREEMAN, ROBERT ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREW
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 1:9250 BRUCKHAUS
Mailing Address - Street 2:APT 411
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-4406
Mailing Address - Country:US
Mailing Address - Phone:919-259-3620
Mailing Address - Fax:
Practice Address - Street 1:3944 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1700
Practice Address - Country:US
Practice Address - Phone:919-878-1810
Practice Address - Fax:919-878-1840
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8831122300000X
LA66061223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist