Active NPI
Friendship Dental Group
- General Practice Dentistry
- Chevy Chase, MD
National Provider Identifier
1205831930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3539
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Adam Pomykala, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Chevy Chase, MD
- NPI 1952505133
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.