Basic Information
| Provider Information | |||||||||
| NPI: | 1457873747 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FREBEL | ||||||||
| FirstName: | HANNAH | ||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 805 RIVER POINT DR APT 106C | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341023415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035226595 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7007 LELY CULTURAL PKWY | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341138976 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2397753052 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2017 | ||||||||
| LastUpdateDate: | 07/09/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223P0221X | DRP1683 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Dental Providers | Dentist | Pediatric Dentistry |
No ID Information.