Alan Paul Friz, DDS
Individual provider Active NPI General Practice Dentistry · Huntingburg, IN
NPI 1689779175 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689779175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12008787 (IN)
- Practice address
- 202 E 17TH St
Huntingburg, IN 47542-9565 - Phone
- (812) 683-5810
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 12008787 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12008787 | IN | Yes |
Addresses
Primary practice location
202 E 17TH St
Huntingburg, IN 47542-9565
Mailing address
202 E 17TH St
Huntingburg, IN 47542-9565
Other providers in Huntingburg, IN
- Rodney Darwin Edwards Jr.
- Morgan Erny
- Lisa Ann Fair
- Family & Implant Dentistry Huntingburg LLC
- Andrew Fischer
- Victoria R Gavin
- Adam James Gilbert
- Jenna N Gogel
- Dane Troy Goodwin
- Jamie Lynn Greenwell
All providers in Huntingburg, IN · General Practice Dentistry in Indiana
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.