Ivan L Freeman in Grants Pass - General Practice

Ivan L Freeman - NPI 1922076652

Ivan L Freeman is a General Practice in Grants Pass, Oregon. Ivan L Freeman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ivan L Freeman is 1922076652. The last update date is 2007-09-05.

Ivan L Freeman's current location address is 1418 Nw Hawthorne Ave, Grants Pass, Oregon. You can contact this provider via phone number 5414749381 and fax number 5414740685. The mailing address for Ivan L Freeman is 1418 Nw Hawthorne Ave, Grants Pass, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivan L Freeman
Address 1418 Nw Hawthorne Ave, Grants Pass, Oregon
Phone Number 5414749381
Fax Number 5414740685
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1922076652
Provider Enumeration Date 2006-03-09
Last Updated Date 2007-09-05

Provider Mailing Address Detail

Address 1418 Nw Hawthorne Ave
City Grants Pass
State Oregon (OR)
Post Code 975261214
Phone Number 5414749381
Fax Number 5414740685

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D6833
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Ivan L Freeman

What is the unique identification code assigned to Ivan L Freeman by the Centers for Medicare & Medicaid Services?

The Ivan L Freeman has been issued the NPI (National Provider Identifier) 1922076652. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Ivan L Freeman?

The Ivan L Freeman is situated at 1418 Nw Hawthorne Ave, in the city of Grants Pass, state of OR, with the zip code 975261214.

What is Ivan L Freeman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ivan L Freeman is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922076652 to Ivan L Freeman?

The Centers for Medicare & Medicaid Services originally issued the 1922076652 to Ivan L Freeman on 2006-03-09.

When was the information related to Ivan L Freeman most recently updated or refreshed?

The details pertaining to the Ivan L Freeman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-05.

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