Provider Demographics
NPI:1063611002
Name:FREIN, DAWN E (DDS)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:E
Last Name:FREIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2928 HAMILTON BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104
Mailing Address - Country:US
Mailing Address - Phone:712-255-5754
Mailing Address - Fax:712-224-2075
Practice Address - Street 1:2928 HAMILTON BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104
Practice Address - Country:US
Practice Address - Phone:712-255-5754
Practice Address - Fax:712-224-2075
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08476122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist