Provider Demographics
NPI:1134201700
Name:FRERE, JULES T (DDS)
Entity type:Individual
Prefix:
First Name:JULES
Middle Name:T
Last Name:FRERE
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 1:3836 PINCHER ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8848
Mailing Address - Country:US
Mailing Address - Phone:360-676-1681
Mailing Address - Fax:
Practice Address - Street 1:2814 FLINT ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-4436
Practice Address - Country:US
Practice Address - Phone:360-734-9928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00003108122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist