Organization Active NPI

Lee M Friedel, DDS and Elise Bolski, DDS, LLC

  • Dentist
  • Weston, FL
National Provider Identifier
1972506681
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7855 Issued in FL
Legal business name
LEE M FRIEDEL, DDS AND ELISE BOLSKI, DDS, LLC
Practice address
1605 Town Center Cir
Ste B
Weston, FL 33326-3637
Phone
(954) 389-0511
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Lee M Friedel, DDSNPI 1396888343
Title
Owner/Dentist
Phone
(954) 389-0511

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7855 FL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 14261 FL

Addresses

Primary practice location

1605 Town Center Cir
Ste B
Weston, FL 33326-3637

Mailing address

1605 Town Center Cir
Ste B
Weston, FL 33326-3637
Phone (954) 389-0511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1972506681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 TOWN CENTER CIR",
            "address_2": "STE B",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263637",
            "telephone_number": "954-389-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 TOWN CENTER CIR",
            "address_2": "STE B",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263637",
            "telephone_number": "954-389-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE M FRIEDEL, DDS AND ELISE BOLSKI, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "FRIEDEL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "954-389-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "7855",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.