Dr. Ezra Friedman, DDS
Dentist, General Practice in Wolcott, Connecticut
1568742815- Practice location
- 464 Wolcott RD, Wolcott, CT 06716-2626
- Phone
- 203-879-4649
- Fax
- 203-879-5560
- Last updated
- January 17, 2018
Ezra Friedman is a Dentist, General Practice based in Wolcott, CT. Ezra Friedman practices in Wolcott, CT and has the professional credentials of DDS. The NPI Number for Ezra Friedman is 1568742815 and holds a License No. 055695 (NY). The current practice location address for Ezra Friedman is 464 Wolcott RD, Wolcott, CT 06716-2626 and can be reached out via phone at 203-879-4649 and via fax at 203-879-5560.
Provider Profile Details
- NPI Number
- 1568742815
- Provider Name
- Ezra Friedman
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 464 Wolcott RD, Wolcott, CT 06716-2626
- Phone Number
- 203-879-4649
- Fax Number
- 203-879-5560
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 18, 2011
- Last Update Date
- January 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 464 Wolcott RD
Wolcott, CT 06716-2626 - City
- Wolcott
- State
- Connecticut
- Zip
- 06716-2626
- Phone Number
- 203-879-4649
- Fax Number
- 203-879-5560
Provider Business Mailing Address Details
- Address
- 464 Wolcott RD
Wolcott, CT 06716-2626 - City
- Wolcott
- State
- CT
- Zip
- 06716-2626
- Phone Number
- 203-879-4649
- Fax Number
- 203-879-5560
License Information
- License Number (1)
- 055695
- License State (1)
- NY
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 011288
- License State (2)
- CT
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Carlos S Degollado, DDSDentist, General Practice · NPI 1073741088
- Dr. Chris A Boscarino, DDSDentist, General Practice · NPI 1700092046
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Frequently Asked Questions
What is the NPI number of Dr. Ezra Friedman, DDS?
The NPI number of Dr. Ezra Friedman, DDS is 1568742815. It was assigned on August 18, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Ezra Friedman, DDS?
Dr. Ezra Friedman, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 055695.
Where does Dr. Ezra Friedman, DDS practice?
The practice location is 464 Wolcott RD, Wolcott, CT 06716-2626. The office can be reached at 203-879-4649 (phone) or 203-879-5560 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568742815 directly on the NPPES registry website.