FREEPORT FAMILY DENTAL CARE, P.C. (NPI# 1093068736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093068736 |
| Entity Type | Organization |
| Organization Name | FREEPORT FAMILY DENTAL CARE, P.C. |
| Practice Address |
1768 S. Rosenstiel Dr Freeport IL 61032-6897 |
| Practice Telephone | 8152352600 |
| Practice Fax Number | 8152359846 |
| Mailing Telephone | 8152352600 |
| Mailing Fax Number | 8152359846 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | DR. DONALD P DOAK (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8152352600 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1768 S. ROSENSTIEL DR |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-6897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356790729 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 16400 Us Highway 331 S, Freeport, FL 32439-4100 | 2016-06-07 |
| 1386900181 | Kasha Dragon | Durable Medical Equipment & Medical Supplies | 17 Smith Street, Freeport, NY 11520-4528 | 2012-04-05 |
| 1174761381 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1732 S West Ave, Freeport, IL 61032-6710 | 2009-01-26 |
| 1033380290 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 1780 Rosenstiel Dr, Freeport, IL 61032-6897 | 2008-03-17 |
| 1396937421 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 114 S. Long Beach Rd, Freeport, NY 11520 | 2007-08-13 |
| 1174627913 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1853 W 2nd St, Freeport, TX 77541-4613 | 2006-09-12 |
| 1952405615 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 403 Atlantic Ave, Freeport, NY 11520-5216 | 2006-09-12 |
| 1538274667 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1512 Sw Route 26, Freeport, IL 61032 | 2006-08-20 |
| 1295740371 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 89 Henry St, Freeport, NY 11520-3906 | 2006-07-29 |
| 1598782872 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2545 Il Route 26 S, Freeport, IL 61032-9370 | 2006-07-16 |
| Find all providers in FREEPORT | ||||
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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.