Provider Demographics
NPI:1639177868
Name:FRIEDMAN, JOE EARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:EARL
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 1:11909 PRESTON FOREST SQUARE
Mailing Address - Street 2:STE 260
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:972-233-1906
Mailing Address - Fax:972-720-8044
Practice Address - Street 1:11909 PRESTON FOREST SQ
Practice Address - Street 2:STE 260
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:972-233-1906
Practice Address - Fax:972-720-8044
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7468122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist