Healthcare Provider Details

I. General information

NPI: 1801287362
Provider Name (Legal Business Name): HUGH E FRIEL D.D.S, M.D.S, P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2015
Last Update Date: 02/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 SCHADT AVE SUITE 1
WHITEHALL PA
18052-3761
US

IV. Provider business mailing address

1815 SCHADT AVE SUITE 1
WHITEHALL PA
18052-3761
US

V. Phone/Fax

Practice location:
  • Phone: 610-820-5550
  • Fax:
Mailing address:
  • Phone: 610-820-5550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS030354L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: