Jake Fried
Pediatric Dentist
92 Sweet Rd
Ballston Lake
, New York 12019-1804
Jake Fried
Pediatric Dentist
92 Sweet Rd
Ballston Lake
, New York 12019-1804
(914) 419-4100
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Jake Fried
- 92 Sweet Rd
- Ballston Lake, NY
- Zip : 12019-1804
- Phone : (914) 419-4100
Second Address
- Jake Fried
- 92 Sweet Rd
- Ballston Lake, NY
- Zip : 12019-1804
- Phone : (914) 419-4100
Reviews
FAQs
Where did Jake Fried attend graduate school?
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Is Jake Fried board certified?
What type of doctor is Jake Fried
In what state does Jake Fried practice in?
Where is Jake Fried ’s practice located?
What is Jake Fried ’s gender?
Is Jake Fried a sole practitioner?
Is Jake Fried accepting new patients?
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Does Jake Fried offers telemedicine?
What is Jake Fried ’s professional license number?
What is Jake Fried ’s NPI number?
Does Jake Fried have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 057555 | NY |
National Provider Identifier
| NPI | 1063834299 |
|---|---|
| Provider Name | Jake Fried |
| First Address | Ballston Lake, NY 12019-1804 |
| Second Address | Ballston Lake, NY 12019-1804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2014 |
| Last Update Date | 07/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.