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Michael L. Freid
Oral and Maxillofacial Surgery (Dentist) in South Bend, Indiana
NPI 1588765077

Michael L. Freid is a Oral and Maxillofacial Surgery (Dentist) based in South Bend, IN and is specialized in Oral and Maxillofacial Surgery. Michael L. Freid practices in South Bend, IN. The NPI Number for Michael L. Freid is 1588765077 and holds a License No. 12006859A (Indiana).

The current practice location address for Michael L. Freid is 225 N Notre Dame Ave, South Bend, IN and can be reached out via phone at 574-232-4868 and via fax at 574-232-4869.

Location: 225 N Notre Dame Ave, South Bend, IN, 46617-2839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588765077
Provider Name
Michael L. Freid
Credential
Provider Entity Type
Organization
Address
225 N Notre Dame Ave, South Bend, IN, 46617-2839
Phone Number
574-232-4868
Fax Number
574-232-4869
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100220550 05 IN
institution
Provider Business Practice Location Address Details
Address
225 N Notre Dame Ave
City
South Bend
State
Indiana
Zip
46617-2839
Phone Number
574-232-4868
Fax Number
574-232-4869
person
Provider Business Mailing Address Details
Address
225 N Notre Dame Ave
City
South Bend
State
Indiana
Zip
46617-2839
Phone Number
574-232-4868
Fax Number
574-232-4869
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12006859A (Indiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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