Friendly Faces Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401007603 Issued in VA

Legal business name

FRIENDLY FACES PEDIATRIC DENTISTRY

Practice address

446 Effingham St
1St Floor
Portsmouth, VA 23704-3416

Phone

(757) 397-9801

Fax

(757) 397-9805

NPI assigned

May 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. JB Martin IV

Title

President

Phone

(757) 397-9801

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Friendly Faces Pediactric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Friendly Faces Pediactric Dentistry

  • Pediatric Dentistry
  • Portsmouth, VA
  • NPI 1295960615
  NPD tax ID

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1407081268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST",
            "address_2": "1ST FLOOR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043416",
            "telephone_number": "757-397-9801",
            "fax_number": "757-397-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST",
            "address_2": "1ST FLOOR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043416",
            "telephone_number": "757-397-9801",
            "fax_number": "757-397-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY FACES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-397-9801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401007603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008200025",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Wesley Freeman, DO
• Emily Lucille Freeman, DO
• Kim Diggs Freeman, RPH
• Joseph Freundlich, PSYD
• Friendly Faces Pediactric Dentistry
• Friends of Faith LLC
• Candice Nickens Frye, PHARMD
• Marcia Lynne Frye, MD
• Daniel Jacob Fuhrmann, DMD
• Daniel Boston Fuller

• Pediatric Dentistry in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.