Organization Active NPI

Friendship Dental Group

  • General Practice Dentistry
  • Chevy Chase, MD
National Provider Identifier
1205831930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3539 Issued in MD
Legal business name
FRIENDSHIP DENTAL GROUP
Practice address
4500 N Park Ave
Ste N803
Chevy Chase, MD 20815-7239
Phone
(301) 656-1106
NPI assigned
Jun 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Adam Pomykala, DDSNPI 1952505133
Title
Partner
Phone
(301) 656-1106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3539 MD Primary

Addresses

Primary practice location

4500 N Park Ave
Ste N803
Chevy Chase, MD 20815-7239

Mailing address

4500 N Park Ave
Ste N803
Chevy Chase, MD 20815-7239
Phone (301) 656-1106

National Provider Directory

National Provider Directory

Locations

4500 N Park Ave
Ste N803
Chevy Chase, MD 20815
Phone (301) 656-1106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205831930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N PARK AVE",
            "address_2": "STE N803",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157239",
            "telephone_number": "301-656-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N PARK AVE",
            "address_2": "STE N803",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157239",
            "telephone_number": "301-656-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POMYKALA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-656-1106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "3539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.