BRADLEY S FREY (NPI# 1053401257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053401257 |
| Entity Type | Individual |
| Full Name | BRADLEY S FREY |
| Credential | DDS |
| Practice Address |
14333 Laurel Bowie Rd Suite 205 Laurel MD 20708 |
| Practice Telephone | 3019531888 |
| Practice Fax Number | 3019531891 |
| Mailing Telephone | 3019531888 |
| Mailing Fax Number | 3019531891 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DEN5935 | DC | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12145 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013990209 | Bradley Duane Frey | Physician Assistant | 1001 West St, Carthage, NY 13619-9703 | 2005-11-22 |
| 1053336305 | Bradley M. Frey | Dentist | 218 Stern Rd, Seaman, OH 45679-9607 | 2006-07-13 |
| Street Address |
14333 LAUREL BOWIE RD SUITE 205 |
| City | LAUREL |
| State | MD |
| Zip Code | 20708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900929 | Joseph A Herbst | Dentist | 14333 Laurel Bowie Rd, Ste 311, Laurel, MD 20708-1183 | 2005-05-23 |
| 1538682836 | Laurel Endodontics | Dentist | 14333 Laurel Bowie Rd, Ste 300, Laurel, MD 20107 | 2017-07-19 |
| 1487098885 | Carl Justin Oppenheim | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2013-04-29 |
| 1073957536 | Trung Quoc Lam, Dds, PC | Dentist | 14333 Laurel Bowie Rd, Suite 200, Laurel, MD 20708-1126 | 2013-04-26 |
| 1265774087 | Thomas Richard Abecket | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2013-03-19 |
| 1215275425 | Jocelyn Beville Defoe | Dentist | 14333 Laurel Bowie Rd, Ste 201, Laurel, MD 20708-1126 | 2013-01-22 |
| 1306191234 | Palak Parikh | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2012-07-17 |
| 1982986519 | Laurel Pine Pediatrics LLC | Pediatrics | 14333 Laurel Bowie Rd, Suite 206, Laurel, MD 20708 | 2011-09-09 |
| 1316236813 | Decker & Lavine, Dds, Pa | Dentist | 14333 Laurel Bowie Rd, Suite 201, Laurel, MD 20708-1126 | 2011-04-05 |
| 1710146840 | Dr Syed Sadiq | Internal Medicine | 14333 Laurel Bowie Rd, Suite 208, Laurel, MD 20708-1126 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1588287072 | Rebecca Sim | Social Worker | 14112 Bramble Court, Apt 101, Laurel, MD 20708 | 2020-05-19 |
| 1265082978 | Leslie Duncan | Nurse Practitioner | 12908 Golden Oak Dr, Laurel, MD 20708 | 2019-09-14 |
| 1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
| 1073083655 | Mamta Sampemane | Occupational Therapist | 14409 Greenview Drive Ste 102, Laurel, MD 20708 | 2018-11-27 |
| 1669950275 | Ngendap Tengen Coreen | Home Health Aide | 13009 Mistletoe Spring Rd Apt 516, Laurel, MD 20708 | 2018-08-06 |
| 1447737994 | Chelsey Nicole Garwood | Technician | 9614 Muirkirk Rd, Apt C166, Laurel, MD 20708 | 2018-07-26 |
| 1730665951 | Agnes Aka Nkafu | Home Health Aide | 9017 Contee Rd Apt 302, Laurel, MD 20708 | 2018-07-11 |
| 1568988756 | Olabisi Ntumngia | Home Health Aide | 8903 Ascot Lane, Apt 11, Laurel, MD 20708 | 2017-08-18 |
| 1376083014 | Amiable Home Health Inc. | Home Health | 10120 Bignonia Drive, Laurel, MD 20708 | 2017-02-28 |
| Find all providers in zip 20708 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871719013 | Scott Freland Thames | Dentist | 325 S 13th Ave, Laurel, MS 39440-4342 | 2007-04-17 |
| 1346375813 | Arthur C Jee | Dentist | 13934 Baltimore Ave, Laurel, MD 20707-5000 | 2007-02-23 |
| 1548335607 | Anthony Vincent Parlato | Dentist | 663 Main Street, Laurel, MD 20707-4067 | 2006-11-22 |
| 1912123159 | The Oral & Maxillofacial Surgery Center, P.a. | Dentist | 325 S 13th Ave, Laurel, MS 39440-4342 | 2007-04-17 |
| 1720130396 | Anthony V Parlato Dds PC | Dentist | 663 Main Street, Laurel, MD 20707-4067 | 2007-01-17 |
| 1326115551 | Janine Carrington | Dentist | 8383 Cherry Lane, Laurel, MD 20707 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490707 | Carl Ruderman Dds LLC | Dentist | 6309 Baltimore Ave Ste 202, Riverdale, MD 20737-1059 | 2020-02-26 |
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1245742741 | Akeso Orafacial Maxillary Surgery | Dentist | 7544 Belair Road, Nottingham, MD 21236 | 2017-10-25 |
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1356726301 | Jak LLC | Dentist | 352 Thompson Creek Mall, Stevensville, MD 21666-2500 | 2015-07-20 |
| 1548661614 | Ib Dental II, P.C. | Dentist | 30a Audrey Lane, Oxon Hill, MD 20745-1301 | 2014-09-09 |
| 1457764052 | Xun Joy Chen | Dentist | 15005 Shady Grove Rd Ste 420, Rockville, MD 20850-6321 | 2014-06-11 |
| 1164848370 | Maryland Oral Surgery Associates of Frederick, LLC | Dentist | 161 Thomas Johnson Dr Ste 295, Frederick, MD 21702-4314 | 2014-03-12 |
| 1013345511 | The Oral Surgery Center At Mitchellville | Dentist | 12164 Central Ave Ste 224, Mitchellville, MD 20721-1903 | 2013-10-17 |
| 1992142806 | Nkemakonam Egolum | Dentist | 4175 N Hanson Ct Ste 200, Bowie, MD 20716 | 2013-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.