Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE FRIED, DDS
Active Sole ProprietorJAKE FRIED, DDS is a Pediatric Dentistry healthcare provider located in BALLSTON LAKE, New York. NPI 1063834299 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BALLSTON LAKE, NY
Registration Details
- NPI Number
- 1063834299
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2014 (12.645355323573 yrs)
- Last Updated
- May 7, 2020
- License
-
057555 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
92 SWEET RDBALLSTON LAKE, NY, 120191804Browse NY providers · Browse ZIP 12019
- Phone
- 9144194100
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.