IndividualActive
Marcelo Freire, D.D.S.,PH.D., D.MED.
NPI 1013264357 · Periodontics · La Jolla, CA
Provider details
- NPI number
- 1013264357
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.,PH.D., D.MED.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 103604 (CA)
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4120 Capricorn Ln
La Jolla, CA 92037-3498
Phone: (858) 200-1846
Street-level locationGet directions
Mailing address
4120 Capricorn Ln
La Jolla, CA 92037-3498
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2022-11-29
- Certified
- 2022-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.