Provider Demographics
NPI:1407063589
Name:FREEMAN, ALISON TRACEY (DMD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:TRACEY
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:TRACEY
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:7 GORWIN DR
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341-1309
Mailing Address - Country:US
Mailing Address - Phone:781-293-2128
Mailing Address - Fax:
Practice Address - Street 1:7 GORWIN DR
Practice Address - Street 2:
Practice Address - City:HANSON
Practice Address - State:MA
Practice Address - Zip Code:02341-1309
Practice Address - Country:US
Practice Address - Phone:781-293-2128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82591223G0001X
MA213621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice