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Contact Information

FREEDOM DENTAL SELECT DE LLC
2304 CONCORD PIKE
WILMINGTON, DE19803-2912
 Phone: 302-469-4699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FREEDOM DENTAL SELECT DE LLC

NPI Number 1659243731
LBN Legal business name FREEDOM DENTAL SELECT DE LLC
Authorized official KYLE GREEN - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/19/2025
Last updated 09/19/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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