Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marcelo Freire, DDS, PHD, DMED

Individual provider Periodontics · NPI 1013264357

Dr. Marcelo Freire, DDS, PHD, DMED is a Periodontics in LA Jolla, California. Practices as a sole proprietor. Licensed in California and Massachusetts.

Licensed in
CA, MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4120 Capricorn Ln
LA Jolla, CA 92037-3498
Phone: (858) 200-1846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 103604 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DL11672 (MA)

Record details

NPI number1013264357
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PHD , DMED
Sole proprietorYes
NPI enumeratedAugust 6, 2012
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address4120 Capricorn Ln, La Jolla, CA 92037-3498

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