Provider Demographics
NPI:1205831930
Name:FRIENDSHIP DENTAL GROUP
Entity Type:Organization
Organization Name:FRIENDSHIP DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:POMYKALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-656-1106
Mailing Address - Street 1:4500 N PARK AVE
Mailing Address - Street 2:STE N803
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7239
Mailing Address - Country:US
Mailing Address - Phone:301-656-1106
Mailing Address - Fax:
Practice Address - Street 1:4500 N PARK AVE
Practice Address - Street 2:STE N803
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7239
Practice Address - Country:US
Practice Address - Phone:301-656-1106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD35391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty