Healthcare Provider Details

I. General information

NPI: 1700558111
Provider Name (Legal Business Name): FRIEDMAN DENTAL GROUP PALM BEACH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 SUNSET AVE
PALM BEACH FL
33480-3815
US

IV. Provider business mailing address

254 SUNSET AVE
PALM BEACH FL
33480-3815
US

V. Phone/Fax

Practice location:
  • Phone: 561-655-2910
  • Fax:
Mailing address:
  • Phone: 561-655-2910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ELI FRIEDMAN
Title or Position: OWNER
Credential: DMD
Phone: 305-333-7844