Provider Demographics
NPI:1669994042
Name:FREELOVE, ANNIKKA FROSTAD-THOMAS (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNIKKA
Middle Name:FROSTAD-THOMAS
Last Name:FREELOVE
Suffix:
Gender:
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANNIKKA
Other - Middle Name:LOUISE
Other - Last Name:FROSTAD-THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3014 ISSAQUAH PINE LAKE RD SE STE A
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-7253
Mailing Address - Country:US
Mailing Address - Phone:425-651-2626
Mailing Address - Fax:
Practice Address - Street 1:3014 ISSAQUAH PINE LAKE RD SE STE A
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-7253
Practice Address - Country:US
Practice Address - Phone:425-651-2626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1034691223P0221X
WA610376991223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry