| Randall K. Freeman, Dds | |
|
54 West Main Street Bloomfield NY 14469-9231 | |
| (585) 657-6909 | |
| (585) 657-7016 |
| Full Name | Randall K. Freeman, Dds |
|---|---|
| Speciality | Dentist |
| Location | 54 West Main Street, Bloomfield, New York |
| Authorized Official Name and Position | Kathy L Dailey (OFFICE COORDINATOR) |
| Authorized Official Contact | 5856576909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall K. Freeman, Dds 54 West Main Street Po Box 369 Bloomfield NY 14469-9231 Ph: (585) 657-6909 | Randall K. Freeman, Dds 54 West Main Street Bloomfield NY 14469-9231 Ph: (585) 657-6909 |
| NPI Number | 1053549568 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053549568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Bloomfield Oral Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 W Main St, Bloomfield, NY 14469 Phone: 585-657-6909 Fax: 585-657-7016 |