# MICHAEL L. FREID

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

## Provider details

- **NPI number:** 1588765077
- **Authorized official:** DR. MICHAEL L FREID DDS (PRESIDENT)
- **Authorized official phone:** (574) 232-4868

## Contact information

- **Practice address:** 225 N NOTRE DAME AVE, SOUTH BEND, IN 46617-2839
- **Practice address phone:** (574) 232-4868
- **Practice address fax:** (574) 232-4869
- **Mailing address:** 225 N NOTRE DAME AVE, SOUTH BEND, IN 46617-2839
- **Mailing address phone:** (574) 232-4868
- **Mailing address fax:** (574) 232-4869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12006859A | IN | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 06/18/2008