Active NPIIndividual provider

Dr. Jordan Fried, DMD

Dentist, Oral and Maxillofacial Surgery in Princeton, New Jersey

NPI Number1932487675
Practice location
166 Bunn Dr Ste 103, Princeton, NJ 08540-2800
Fax
—
Last updated
August 27, 2020

Jordan Fried is a Dentist, Oral and Maxillofacial Surgery based in Princeton, NJ. Jordan Fried practices in Princeton, NJ and has the professional credentials of DMD. The NPI Number for Jordan Fried is 1932487675 and holds a License No. 22DI02550100 (NJ). The current practice location address for Jordan Fried is 166 Bunn Dr Ste 103, Princeton, NJ 08540-2800 and can be reached out via phone at 609-924-1621.

Provider Profile Details

NPI Number
1932487675
Provider Name
Jordan Fried
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
166 Bunn Dr Ste 103, Princeton, NJ 08540-2800
Phone Number
609-924-1621
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2011
Last Update Date
August 27, 2020
Certification Date
August 27, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Bunn Dr Ste 103
Princeton, NJ 08540-2800
Zip
08540-2800
Phone Number
609-924-1621
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
166 Bunn Dr Ste 103
Princeton, NJ 08540-2800
City
Princeton
State
NJ
Zip
08540-2800
Phone Number
609-924-1621

License Information

License Number (1)
22DI02550100
License State (1)
NJ
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
License Number (2)
DS040288
License State (2)
PA
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jordan Fried, DMD?

The NPI number of Dr. Jordan Fried, DMD is 1932487675. It was assigned on July 29, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jordan Fried, DMD?

Dr. Jordan Fried, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI02550100.

Where does Dr. Jordan Fried, DMD practice?

The practice location is 166 Bunn Dr Ste 103, Princeton, NJ 08540-2800. The office can be reached at 609-924-1621 (phone).

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 1932487675 directly on the NPPES registry website.

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