Provider Demographics
NPI:1467571208
Name:FRIEDMAN, ALAN GERRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:GERRY
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 1:8235 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7450
Mailing Address - Country:US
Mailing Address - Phone:954-753-6100
Mailing Address - Fax:954-753-8937
Practice Address - Street 1:8235 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7450
Practice Address - Country:US
Practice Address - Phone:954-753-6100
Practice Address - Fax:954-753-8937
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL63631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice