FREEPORT FAMILY DENTISTRY (NPI# 1578806360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578806360 |
| Entity Type | Organization |
| Organization Name | FREEPORT FAMILY DENTISTRY |
| Practice Address |
313 S Brazosport Blvd Freeport TX 77541-4506 |
| Practice Telephone | 9792336000 |
| Mailing Telephone | 9792336000 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | KHALID MALKAWI (OWNER) |
| Authorized Official Telephone | 8102102125 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 25873 | TX | Dental Providers |
| Street Address |
313 S BRAZOSPORT BLVD |
| City | FREEPORT |
| State | TX |
| Zip Code | 77541-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231365 | Freeport Dental Group Pllc | Clinic/Center | 313 S Brazosport Blvd, Freeport, TX 77541-4506 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909022 | Aida Garza | Counselor | 200 W. 2nd St., Suite 228, Freeport, TX 77541 | 2015-08-03 |
| 1982960720 | Adapt Programs, LLC | Clinic/Center | 210 W 1st Street, Suite B Room 1, Freeport, TX 77541 | 2012-04-05 |
| 1467976530 | Carmen Garcia-garza | Nurse Practitioner | 905 N Gulf Blvd, Freeport, TX 77541 | 2017-07-31 |
| 1326380767 | Mohamed Awni Zebda | Pediatrics | 905 N Gulf Blvd, Freeport, TX 77541 | 2013-03-25 |
| 1003022898 | Nusrat Ahmed | Family Medicine | 905 N Gulf Blvd, Freeport, TX 77541 | 2007-05-16 |
| 1952707861 | Melissa Colvin | Nurse Practitioner | 602 Copper Rd, Freeport, TX 77541-3001 | 2014-11-05 |
| 1083926752 | Stanley H Miller | Preventive Medicine | 2301 N Brazosport Blvd # B-101, Dow Chemical Health Services, Freeport, TX 77541-3203 | 2010-07-09 |
| 1063633303 | Beverly E Morrison | Physical Medicine & Rehabilitation | 1102 N Brazosport Blvd, Freeport, TX 77541-3504 | 2007-05-02 |
| 1114917846 | Atlas Dental Lp | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2005-10-25 |
| 1457727109 | Shine Dental Pllc | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2015-08-17 |
| Find all providers in zip 77541 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096053 | James Williams | Dentist | 740 W South St, Freeport, IL 61032-6840 | 2020-06-02 |
| 1710468723 | Heather Perez | Dentist | 510 Camellia Ct, Freeport, FL 32439-6680 | 2018-08-27 |
| 1558531541 | Evan Goldstein | Dentist | 100 Brooklyn Ave, Suite 1p-r, Freeport, NY 11520-3043 | 2008-03-05 |
| 1477674216 | Edgardo Grande | Dentist | 72 Guy Lombardo Avenue, Freeport, NY 11520-3742 | 2007-04-02 |
| 1750474706 | Dale Alan Johnson | Dentist | 1717 W Church St, Freeport, IL 61032-4695 | 2006-10-02 |
| 1437261666 | Steven John Brill | Dentist | 50 W Douglas, Ste 605, Freeport, IL 61032 | 2006-09-01 |
| 1669487070 | Mary Apfel Hencinski | Dentist | 30 Blueberry Rd, Freeport, FL 32439-3016 | 2006-07-31 |
| 1679538136 | Mark Steven Stein | Dentist | 500 Franklin Street, Freeport, PA 16229-1218 | 2006-04-19 |
| 1972578904 | Doris Ortiz | Dentist | 35a Guy Lombardo Ave, Freeport, NY 11520-3604 | 2006-02-22 |
| 1679132088 | Stephanie Cherai Bernard | Dentist | 101 S Bergen Pl, Freeport, NY 11520-3528 | 2019-06-10 |
| Find all providers in FREEPORT | ||||
Please comment or provide details below to improve the information on FREEPORT FAMILY DENTISTRY.
| 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.