MEDICARE: ASHLEIGH FRIEND DDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1578393567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLEIGH FRIEND DDS LLC

Provider Business Mailing Address
First Line	:	20 CRESTON LN
Second Line	:
City	:	SOLOMONS
State	:	MD
Zip	:	20688-3015
Country	:	US
Telephone Number	:	410-326-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 CRESTON LN
Second Line	:
City	:	SOLOMONS
State	:	MD
Zip	:	20688-3015
Country	:	US
Telephone Number	:	410-326-0800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEIGH FRIEND
Credential	:
Telephone Number	:	410-326-0800

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/05/2024

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