Dr. Angelique Renee Freking, DDS
Dentist, General Practice in New York, NY. Individual provider (NPI-1).
NPI number1124376397
StatusActive
Last updated in NPPESMay 25, 2016
Details
- NPI
- 1124376397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angelique Renee Freking
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2012
- Last updated
- May 25, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 056261 | NY | Yes |
| 122300000X | Dentist | 056261 | NY |
Practice location
15 E 12th St Apt 3New York, NY 10003-4436
Phone 720-273-7777
Mailing address
30 Wall Street#720
New York, NY 10005
Phone 212-514-5514 · Fax 212-514-8510
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