Provider Demographics
NPI:1639336290
Name:FRIEDA S HALE DDS PA
Entity Type:Organization
Organization Name:FRIEDA S HALE DDS PA
Other - Org Name:TODAY'S DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRIEDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-580-0770
Mailing Address - Street 1:3944 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3521
Mailing Address - Country:US
Mailing Address - Phone:281-580-0770
Mailing Address - Fax:281-580-6952
Practice Address - Street 1:3944 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3521
Practice Address - Country:US
Practice Address - Phone:281-580-0770
Practice Address - Fax:281-580-6952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty