Active NPI
Philip I. Friedman, D.D.S., P.C.
- General Practice Dentistry
- Savannah, GA
National Provider Identifier
1699041996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 011248
- Legal business name
- PHILIP I. FRIEDMAN, D.D.S., P.C.
- Practice address
- 6803 Forest Park Dr
Savannah, GA 31406-2509 - Phone
- (912) 354-7693
- Fax
- (912) 354-8762
- NPI assigned
- Mar 30, 2012
- 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
- Ms. Leslie J Krawchuk
- Title
- Practice Administrator
- Phone
- (912) 354-7693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 011248 | GA | Primary |
Addresses
Primary practice location
6803 Forest Park Dr
Savannah, GA 31406-2509
Mailing address
6803 Forest Park Dr
Savannah, GA 31406-2509
Phone (912) 354-7693
National Provider Directory
National Provider DirectoryLocations
6803 Forest Park Dr
Savannah, GA 31406
Phone (912) 354-7693
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Savannah, GA
- NPI 1538175732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333065600000",
"number": "1699041996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6803 FOREST PARK DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062509",
"telephone_number": "912-354-7693",
"fax_number": "912-354-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6803 FOREST PARK DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062509",
"telephone_number": "912-354-7693",
"fax_number": "912-354-8762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP I. FRIEDMAN, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-30",
"last_updated": "2012-03-30",
"status": "A",
"authorized_official_last_name": "KRAWCHUK",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "912-354-7693",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN 011248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.