MICHELLE L. FREEZE, DMD, PLLC (NPI# 1912025354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912025354 |
| Entity Type | Organization |
| Organization Name | MICHELLE L. FREEZE, DMD, PLLC |
| Practice Address |
4308 N. Quinlan Park Rd Ste 201 Austin TX 78732 |
| Mailing Address |
10900 Lakeline Mall Dr Ste 250 Austin TX 78717 |
| Practice Telephone | 5122667200 |
| Practice Fax Number | 5122666197 |
| Mailing Telephone | 5122667200 |
| Mailing Fax Number | 5125830675 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHELLE L FREEZE (OWNER, PEDIATRIC DENTIST) |
| Authorized Official Telephone | 5122667200 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
21635 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UNITED CONCORDIA | 1620639 | 01 |
| Street Address |
4308 N. QUINLAN PARK RD STE 201 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578666475 | Michelle L Freeze | Dentist | 4308 N. Quinlan Park Rd, Ste 201, Austin, TX 78732 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477181014 | The Doctors Morren, Pllc | Dentist | 3810 N Quinlan Park Rd, Austin, TX 78732 | 2020-03-30 |
| 1851803688 | Lake Travis Emergency Physicians, Pllc | Internal Medicine | 5012 Ranch Road 620 North, Austin, TX 78732 | 2017-11-02 |
| 1679018386 | Joseph Civello | Pharmacist | 6911 Ranch Rd 620 N, Austin, TX 78732 | 2017-01-04 |
| 1619300431 | Rapid Radiology, Inc. | Radiology | 6548 Comanche Trl Ste 501, Austin, TX 78732 | 2013-08-15 |
| 1417395658 | Meagan Lee Scarborough | Dentist | 2900 N Quinlan Park Rd Ste 160, Austin, TX 78732 | 2013-06-10 |
| 1851667729 | Quinlan Park Dental | Dentist | 5145 N. Fm 620 Suite G-150, Austin, TX 78732 | 2012-03-26 |
| 1568611978 | Sumita Chakraborti | Dentist | 5145 N. Fm 620, Suite G-150, Austin, TX 78732 | 2008-09-10 |
| 1376736371 | Alexander Banks | Registered Nurse | 2900 N. Quinlan Park Rd., B240, Austin, TX 78732 | 2007-08-22 |
| 1760602585 | Vista View Dental | Dentist | 4300 N Quinlan Park Blvd, Suite 230, Austin, TX 78732 | 2007-04-26 |
| 1659448876 | Katherine Blum | Preventive Medicine | 3208 Magenta Sky Trail, Austin, TX 78732 | 2006-11-30 |
| Find all providers in zip 78732 | ||||
| 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 |
|---|---|---|---|---|
| 1558832972 | Belterra Kids Teeth | Dentist | 165 Hargraves Dr Ste M100, Austin, TX 78737-4810 | 2018-12-11 |
| 1073051413 | Bash Braker LLC | Dentist | 1139 W Braker Ln, Ste 201, Austin, TX 78758 | 2017-02-06 |
| 1336519313 | Longhorn Pediatric Dentistry and Orthodontics | Dentist | 4638 W Gate Blvd, Austin, TX 78745-1461 | 2015-10-02 |
| 1659749810 | Specialty Dental Partners of Austin Pllc | Dentist | 4308 N Quinlan Park Rd Ste 201, Austin, TX 78732-6071 | 2015-09-04 |
| 1003202060 | Jared Poplin D.m.d., Pllc | Dentist | 6850 Austin Center Blvd Ste 220, Austin, TX 78731-3131 | 2015-04-07 |
| 1679964787 | Alexander Y Shau | Dentist | 13616 N Hwy 183 Unit A, Austin, TX 78750-2312 | 2015-02-10 |
| 1972902427 | Green Apple Pediatric Dentistry, Pllc | Dentist | 11601 Us Hwy 290 West, Suite 105, Austin, TX 78737 | 2014-08-21 |
| 1902216989 | Kyle Raymond Pa | Dentist | 5656 Bee Caves Rd Ste B104, Austin, TX 78746 | 2014-04-30 |
| 1447595855 | Rock That Smile Pediatric Dentistry Pllc | Dentist | 14005 N. Hwy 183, #800, Austin, TX 78717 | 2012-12-11 |
| 1215280557 | North Austin Pediatric Dental, Pllc | Dentist | 8716 Research Blvd # 125, Austin, TX 78758-6420 | 2012-10-24 |
| Find all providers in AUSTIN | ||||
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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.