Organization
ROOTS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREI DMD (OWNER/PARTNER)
(208) 821-2206
Entity
Organization
Contact information
Practice address
6291 N FOX RUN WAY STE 120, MERIDIAN, ID 83646-6791
(208) 821-2206
Mailing address
5436 N EXETER WAY, MERIDIAN, ID 83646-4691
(208) 821-2206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/12/2023
Last updated
01/09/2026
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