# FREEMAN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437535119
- **Authorized official:** TYLER MCMURTRY (OFFICE MANAGER)
- **Authorized official phone:** (270) 247-1966

## Contact information

- **Practice address:** 312 WYATT DR, MAYFIELD, KY 42066-6810
- **Practice address phone:** (270) 247-1966
- **Practice address fax:** (270) 247-5471
- **Mailing address:** 312 WYATT DR, MAYFIELD, KY 42066-6810
- **Mailing address phone:** (270) 247-1966
- **Mailing address fax:** (270) 247-5471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9602 | KY | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 08/05/2015