QUANTEZ FREEMAN (NPI# 1457736845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457736845 |
| Entity Type | Individual |
| Full Name | QUANTEZ FREEMAN |
| Credential | DDS |
| Practice Address |
113 La Grange Ave La Plata MD 20646-9592 |
| Mailing Address |
222 M St Sw Apt 803 Washington DC 20024-3748 |
| Practice Telephone | 3019342771 |
| Mailing Telephone | 2566538060 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
16589 | MD | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
12012402A | IN | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
16589 | MD | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3658 S East St, Indianapolis, IN 462271239 | 3176140889 |
| Street Address |
113 LA GRANGE AVE |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-9592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760048813 | Family Orthodontics of Maryland LLC | Clinic/Center | 113 La Grange Ave, La Plata, MD 20646-9592 | 2019-05-14 |
| 1528527967 | Dentistry for Children of Maryland, LLC | Clinic/Center | 113 La Grange Ave, La Plata, MD 20646-9592 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295385698 | Just 4 Kidz Dentistry, LLC | Dentist | 12250 Rockville Pike Ste 200, Rockville, MD 20852-1669 | 2019-09-17 |
| 1033761960 | Caroline Larosiliere Dds and Associates | Dentist | 10605 Greenbelt Rd, Lanham, MD 20706-2274 | 2019-07-11 |
| 1720562507 | Arundel Pediatric Dental Care | Dentist | 8531 Veterans Hwy Ste 103, Millersville, MD 21108-2653 | 2018-09-18 |
| 1083192884 | Chang & Phan Dental, LLC | Dentist | 451 Hungerford Dr Ste 100, Rockville, MD 20850-5102 | 2018-08-02 |
| 1710473731 | Marlborough Village Pediatric Dental | Dentist | 5098 Brown Station Rd Ste 260, Upper Marlboro, MD 20772-9124 | 2018-07-02 |
| 1184116618 | Kiddie Cavity Care Thmd, LLC | Dentist | 3743 Branch Ave Ste A, Temple Hills, MD 20748-1408 | 2018-05-31 |
| 1851881999 | Haider Alshami | Dentist | 650 W Baltimore St, Baltimore, Md 21201, 3rd Flood, Baltimore, MD 21286 | 2018-05-15 |
| 1306335468 | Adam Elrafei | Dentist | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2018-05-04 |
| 1285121137 | Zamora Kids Dentistry, P.a. | Dentist | 1350 Blair Dr Ste I, Odenton, MD 21113-1333 | 2018-04-17 |
| 1336659721 | Tyson Bross Dmd Phd LLC | Dentist | 129 Lubrano Dr Ste 300, Annapolis, MD 21401-7568 | 2017-10-11 |
| 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.