Provider Demographics
NPI:1376603068
Name:FRIEDMAN, HARRY LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LEE
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1838 GREENE TREE ROAD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-653-0040
Mailing Address - Fax:410-653-8178
Practice Address - Street 1:1838 GREENE TREE ROAD
Practice Address - Street 2:SUITE 270
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-653-0040
Practice Address - Fax:410-653-8178
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4019122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist