| Michelle L. Freeze, Dmd, Pllc | |
|
4308 N. Quinlan Park Rd Ste 201 Austin TX 78732 | |
| (512) 266-7200 | |
| (512) 266-6197 |
| Full Name | Michelle L. Freeze, Dmd, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4308 N. Quinlan Park Rd, Austin, Texas |
| Authorized Official Name and Position | Michelle L Freeze (OWNER, PEDIATRIC DENTIST) |
| Authorized Official Contact | 5122667200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L. Freeze, Dmd, Pllc 10900 Lakeline Mall Dr Ste 250 Austin TX 78717 Ph: (512) 266-7200 | Michelle L. Freeze, Dmd, Pllc 4308 N. Quinlan Park Rd Ste 201 Austin TX 78732 Ph: (512) 266-7200 |
| NPI Number | 1912025354 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912025354 | NPI | - | NPPES |
| 1620639 | Other | TX | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21635 (Texas) | Primary |
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