Provider Demographics
NPI:1235220484
Name:FRIEDMAN, KARA LEEANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:LEEANN
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 PROSPERITY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4263
Mailing Address - Country:US
Mailing Address - Phone:317-703-1066
Mailing Address - Fax:317-703-1067
Practice Address - Street 1:16000 PROSPERITY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4263
Practice Address - Country:US
Practice Address - Phone:317-703-1066
Practice Address - Fax:317-703-1067
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120107781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice