Most Relevant Information
Provider Data
| NPI Number: | 1003815002 |
| Provider Name: | JOHN THOMAS FREY D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 2901017047 |
Most Important Dates
| Enumeration Date: | 07/20/2005 |
| Last Updated: | 02/06/2012 |
Provider Practice Location
6220 JUPITER AVE NE
SUITE B
BELMONT
MI
493068708
Practice Location Phone/Fax
| Phone: | 6162220202 |
| Fax: | 6162220203 |
Provider Mailing Location
6220 JUPITER AVE NE STE B
BELMONT
MI
493068709
Provider Mailing Phone/Fax
| Phone: | 6162220202 |
| Fax: | 6162220203 |