Provider Demographics
NPI:1902929268
Name:FREEMAN, DAVID HARRIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HARRIS
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 S TAMIAMI TRL STE 8
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5100
Mailing Address - Country:US
Mailing Address - Phone:941-953-7500
Mailing Address - Fax:941-366-0470
Practice Address - Street 1:3300 S TAMIAMI TRL STE 8
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5100
Practice Address - Country:US
Practice Address - Phone:941-953-7500
Practice Address - Fax:941-366-0470
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN154041223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics