JACOB AARON FREEZE


Address: 4881 Sugar Maple Dr, Dayton, OH 45433-5529
Phone: 9372578761

JACOB AARON FREEZE (NPI# 1053949198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053949198
Entity Type Individual
Full Name JACOB AARON FREEZE
Credential DMD
Practice Address 4881 Sugar Maple Dr
Dayton
OH 45433-5529
Mailing Address 6311 Horizon Way
Charlestown
IN 47111-8947
Practice Telephone 9372578761
Mailing Telephone 8013583570
Enumeration Date 2020-04-01
Last Update Date 2020-04-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4881 SUGAR MAPLE DR
City DAYTON
State OH
Zip Code 45433-5529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821611989 Se Ha Park Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-05-24
1841812898 George Manoj Paul Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-05-13
1326672619 Caleb Evan Mcclary Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-02-26
1730729542 Alan Eric Piper Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-01-09
1073161147 Kristin Kim Dentist 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2019-08-30
1225681117 Kaleb Aaron Specht Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2019-07-19
1891347662 Jessica Marie Gregor Physician Assistant 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2019-07-11
1134785165 Ethan Wilston Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2019-05-15
1700381522 Zachary Gordon Candela Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2018-03-25
1285135145 Brant William Bickford Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2018-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891289518 Sara Lyons Physician Assistant 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 2018-06-16
1073001558 Mega Margapuram Student in an Organized Health Care Education/Training Program 1 Sugar Maple Drive, Dayton, OH 45433 2018-04-30
1437667979 Michael Peter Dring Social Worker Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 2018-01-18
1316486814 Josiah Hardin Internal Medicine 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 2017-02-16
1780137380 Allison Osterfeld Pharmacist 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 2016-07-29
1891144283 Kyle Harris Student in an Organized Health Care Education/Training Program 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 2016-06-07
1245601756 Nichole Griep Audiologist 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 2015-10-09
1487021267 Melanie Schaffer Dietitian, Registered 4881 Sugamaple Drive, Wpafb, OH 45433 2015-08-27
1831582261 Joseph K Wray General Practice 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 2015-03-10
1659798031 Maninder Kaur Nurse Practitioner 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 2014-03-24
Find all providers in zip 45433

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205434925 Madeline Mae Juergens Student in an Organized Health Care Education/Training Program 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 2020-10-14
1932729662 Benjamin Mallicoat Student in an Organized Health Care Education/Training Program 128 E Apple St Ste 2800, Dayton, OH 45409-2902 2020-04-22
1306465877 Chase Smith Student in an Organized Health Care Education/Training Program 4100 W 3rd St Bldg 330, Dayton, OH 45428-9000 2020-04-14
1255960233 Landon Rosevear Student in an Organized Health Care Education/Training Program 128 E Apple St Fl 7, Dayton, OH 45409-2902 2020-04-02
1598392391 Brett Douglas Foster Student in an Organized Health Care Education/Training Program 12 Garret St, Dayton, OH 45410-1226 2020-03-24
1538706940 Anthony Kelemen Student in an Organized Health Care Education/Training Program Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 2019-12-04
1275184764 Rachel Wininger Student in an Organized Health Care Education/Training Program 117 Health Sciences Building 3640 Colonel Glenn Highway, Dayton, OH 45435-0001 2019-09-25
1801444955 Ashley Elizabeth Murphy Student in an Organized Health Care Education/Training Program Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 2019-09-02
1245888304 Melissa Irene Schmerr Student in an Organized Health Care Education/Training Program School of Professional Psychology Wright State Universi, 117 Health Science Bldg. 3640 Colonel Glenn Hwy., Dayton, OH 45435-0001 2019-08-30
1427510510 Michael S Hatesohl Student in an Organized Health Care Education/Training Program 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 2019-04-05
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Competitor

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City DAYTON
Zip Code 45433

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Dataset Information

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.

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