MEDICARE: DR. RICHARD A FRIEDMAN DMD

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	08948	MD

General Provider Information

NPI Number	:	1326013376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A FRIEDMAN DMD

Provider Business Mailing Address
First Line	:	P.O. BOX 525
Second Line	:	14532 SOLOMONS ISLAND ROAD
City	:	SOLOMONS
State	:	MD
Zip	:	20688
Country	:	US
Telephone Number	:	410-394-6690
Fax Number	:	240-718-2086

Provider Business Practice Location Address
First Line	:	14532 SOLOMONS ISLAND ROAD
Second Line	:
City	:	SOLOMONS
State	:	MD
Zip	:	20688
Country	:	US
Telephone Number	:	410-394-6690
Fax Number	:	240-718-2086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	09/17/2016

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