Fridman Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS031318-L Issued in PA

Legal business name

FRIDMAN DENTAL CARE

Practice address

1707 W Passyunk Ave
Philadelphia, PA 19145-3830

Phone

(215) 271-7259

Fax

(215) 271-7224

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Ann Guntsadze

Title

Manager

Phone

(267) 901-9817

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1811216062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453830",
            "telephone_number": "215-271-7259",
            "fax_number": "215-271-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453830",
            "telephone_number": "215-271-7259",
            "fax_number": "215-271-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDMAN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "GUNTSADZE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-901-9817"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031318-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Frias Cuevas, BA
• Anamaria Frias
• Giulia Christina Frias, MD
• Ydaly R Frias
• Emily Lynne Fridberg, OT
• Boris Fridman, D.M.D
• Guy W. Fried, MD
• Lawrence Elliot Fried, M.D.
• Adam Jeffrey Friedant, DO
• Joseph S Friedberg, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.