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DR. MARCELO FREIRE D.D.S.,PH.D., D.MED.
NPI 1013264357
Dentist - Periodontics in La Jolla, CA

Active since August 06, 2012
4120 CAPRICORN LN, LA JOLLA, CA 92037(858) 200-1846 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marcelo Freire D.d.s.,ph.d., D.med. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARCELO FREIRE D.D.S.,PH.D., D.MED. (NPI 1013264357) is an individual periodontics provider in La Jolla, California, licensed in California (103604) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1013264357
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARCELO FREIRECredential: D.D.S.,PH.D., D.MED.
Location Address4120 CAPRICORN LNLa Jolla, CA 92037-3498
Mailing Address4120 Capricorn LnLa Jolla, CA 92037-3498 · (858) 200-1846
Phone(858) 200-1846
Sole ProprietorYes
Enumeration DateAugust 6, 2012
Last NPPES UpdateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1013264357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 103604
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DL11672 (MA)
4120 CAPRICORN LN, La Jolla, CA 92037
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcelo Freire's NPI number?

The NPI number for Marcelo Freire is 1013264357. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Where is Marcelo Freire located?

Marcelo Freire practices at 4120 Capricorn Ln, La Jolla, CA 92037. The listed phone number is (858) 200-1846.

What is Marcelo Freire's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Marcelo Freire was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.