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General NPI Number Information
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NPI Number | 1386501609
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER C. FRIEDL AND LAUREN E. JENSEN ENDODONTICS, PLLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 5515 UTICA RIDGE RD STE 500
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City | DAVENPORT
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State | IA
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Zip | 52807-3927
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Country | US
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Telephone | 269-330-6288
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Fax |
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Provider Business Mailing Address
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Address Line | 5515 UTICA RIDGE RD STE 500
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City | DAVENPORT
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State | IA
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Zip | 52807-3927
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHRISTOPHER FRIEDL
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Credential | DDS
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Telephone | 269-330-6288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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