MICHAEL L. FREID (NPI# 1588765077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588765077 |
| Entity Type | Organization |
| Organization Name | MICHAEL L. FREID |
| Practice Address |
225 N Notre Dame Ave South Bend IN 46617-2839 |
| Practice Telephone | 5742324868 |
| Practice Fax Number | 5742324869 |
| Mailing Telephone | 5742324868 |
| Mailing Fax Number | 5742324869 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. MICHAEL L FREID (PRESIDENT) |
| Authorized Official Telephone | 5742324868 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12006859A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100220550 | 05 |
| Street Address |
225 N NOTRE DAME AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255433348 | John B. Lehman Jr. | Dentist | 225 N Notre Dame Ave, South Bend, IN 46617 | 2006-09-01 |
| 1538535836 | Michael B Gasko,dds,inc | Dentist | 225 N Notre Dame Ave, 5, South Bend, IN 46617-2839 | 2015-08-20 |
| 1972807238 | John B. Lehman Jr., Dds, Msd, Inc. | Dentist | 225 N Notre Dame Ave, Suite 4, South Bend, IN 46617-2839 | 2010-12-30 |
| 1407921927 | Michael Bernard Gasko | Dentist | 225 N Notre Dame Ave, Suite 5, South Bend, IN 46617-2839 | 2006-11-21 |
| 1003988940 | Eugene Michael Feltman | Dentist | 225 N Notre Dame Ave, Suite 2, South Bend, IN 46617-2839 | 2006-11-15 |
| 1740365964 | Scott Elliot Risser | Dentist | 225 N Notre Dame Ave, South Bend, IN 46617 | 2006-10-26 |
| 1265533731 | Michael L Freid | Dentist | 225 N Notre Dame Ave, Suite # 1, South Bend, IN 46617-2839 | 2006-09-26 |
| 1497858864 | Risser Endodontics P.C. | Dentist | 225 N Notre Dame Ave, Suite 2, South Bend, IN 46617 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1346289857 | William Edward Paul | Dentist | 926 East Lasalle Avenue, South Bend, IN 46617-2887 | 2006-06-06 |
| 1265533731 | Michael L Freid | Dentist | 225 N Notre Dame Ave, Suite # 1, South Bend, IN 46617-2839 | 2006-09-26 |
| 1093775272 | Michiana Oral &maxillofacial Surgery LLC | Dentist | 707 N Michigan St, Suite 300, South Bend, IN 46601-1070 | 2006-03-23 |
| 1801890520 | Bernard Jay Asdell | Dentist | 707 N Michigan St, Ste 300, South Bend, IN 46601-1070 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063918746 | Robinpreet Singh Pannu | Dentist | 550 University Blvd Ste 3195, Indianapolis, IN 46202-5149 | 2018-04-02 |
| 1912435843 | Advanced Family Dentistry | Dentist | 9845 E 116th St Ste 400, Fishers, IN 46037-9236 | 2017-05-23 |
| 1093250151 | Ruckman Oral Surgery and Implant Center LLC | Dentist | 9901 Auburn Rd, Fort Wayne, IN 46825-2345 | 2016-12-28 |
| 1992159552 | Kokomo Implant and Oral Surgery, LLC | Dentist | 2008 West Sycamore Street, Kokomo, IN 46901-4112 | 2016-04-20 |
| 1659752335 | Yusif Umar | Dentist | 550 University Blvd # Uh3145, Indianapolis, IN 46202-5149 | 2015-06-17 |
| 1154710267 | Lawrence G. Falender Dds PC | Dentist | 1320 N Post Rd, Indianapolis, IN 46219-4210 | 2015-01-13 |
| 1568878270 | Austin Starr | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2014-07-02 |
| 1144668989 | Timothy William Surber | Dentist | 5701 Brownstone Dr, Indianapolis, IN 46220-5851 | 2013-06-13 |
| 1396189387 | Intp Dental PC | Dentist | 8555 River Rd Ste 180, Indianapolis, IN 46240-4311 | 2013-04-22 |
| 1932440054 | John Joseph Schier Jr. | Dentist | 3021 E 98th St Ste 250, Indianapolis, IN 46280-2908 | 2013-03-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on MICHAEL L. FREID.
| 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.