FREEPORT FAMILY DENTISTRY, LLC (NPI# 1790291425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790291425 |
| Entity Type | Organization |
| Organization Name | FREEPORT FAMILY DENTISTRY, LLC |
| Practice Address |
30 Blueberry Rd Freeport FL 32439-3016 |
| Practice Telephone | 8508354127 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Authorized Official Name | DR. JAMES J SHIRLEY (DENTIST) |
| Authorized Official Telephone | 8508656703 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
30 BLUEBERRY RD |
| City | FREEPORT |
| State | FL |
| Zip Code | 32439-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669487070 | Mary Apfel Hencinski | Dentist | 30 Blueberry Rd, Freeport, FL 32439-3016 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518464767 | Molly Lutz | Specialist/Technologist | 12615 Business Hwy 331, Freeport, FL 32439 | 2018-04-12 |
| 1952840266 | Katherine Mclelland | Specialist/Technologist | 12615 U.S. 331 Bus, Freeport, FL 32439 | 2017-02-20 |
| 1497160360 | Jennewein, Np-c, LLC | Health Maintenance Organization | 40 Washington Street, Freeport, FL 32439 | 2014-06-30 |
| 1407292220 | Lauren Neighbors Youtz | Physician Assistant | 479 E. Hwy 20, Freeport, FL 32439 | 2013-05-20 |
| 1841537180 | Jeanne Elizabeth Brehm | Contractor | 2516 Co Hwy 3280, Freeport, FL 32439 | 2013-01-07 |
| 1417247529 | Lindsay L Shirley | Dentist | 30 Blueberry Road, Freeport, FL 32439 | 2011-04-10 |
| 1659476281 | Garlon Ray Weeks | Pharmacist | 132 East Hwy 20, Freeport, FL 32439 | 2006-09-14 |
| 1477595858 | Freeport Family Medicine LLC | Family Medicine | 1588 Highway 20 West, Freeport, FL 32439 | 2006-06-12 |
| 1366413049 | Christopher Ray Weeks | Pharmacist | 132 E Hwy 20, Freeport, FL 32439 | 2006-01-30 |
| 1992902100 | Freeport Family Chiropractic Clinic LLC | Chiropractor | 40 Washington St., Freeport, FL 32439 | 2007-06-29 |
| Find all providers in zip 32439 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255463378 | Dental Connnections | Clinic/Center | 2661 W Stephenson St, Freeport, IL 61032-6223 | 2007-03-12 |
| 1699231365 | Freeport Dental Group Pllc | Clinic/Center | 313 S Brazosport Blvd, Freeport, TX 77541-4506 | 2019-02-18 |
| 1598274904 | Your Smile Dental of Freeport | Clinic/Center | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2017-09-28 |
| 1447478953 | Freeport Dental Associates, P.C. | Clinic/Center | 46 Mallett Dr, Freeport, ME 04032-1313 | 2007-04-22 |
| 1588782650 | Aids Dental Services | Clinic/Center | 333 N Main St, Freeport, NY 11520-1231 | 2007-03-27 |
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| 1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
| 1376142547 | Trm Global Enterprise,llc. | Clinic/Center | 145 Crawl Key Ct, Deland, FL 32720-3951 | 2020-10-20 |
| 1568060762 | Bawany LLC | Clinic/Center | 15130 Springview St, Tampa, FL 33624-2332 | 2020-10-12 |
| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
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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.