Howard L Friedman, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Pouchkeepsie, NY
NPI 1003988601 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003988601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- DDS028697 (NY)
- Practice address
- 10 Walker Road
Pouchkeepsie, NY 12603-4308 - Phone
- (845) 462-3350
- Fax
- (845) 462-7422
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS028697 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS028697 | NY | Yes |
Addresses
Primary practice location
10 Walker Road
Pouchkeepsie, NY 12603-4308
Mailing address
10 Walker Road
Pouchkeepsie, NY 12603-4308
Phone (845) 462-3350
Other providers in Pouchkeepsie, NY
All providers in Pouchkeepsie, NY · Orthodontics and Dentofacial Orthopedics Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.