Provider Demographics
NPI:1669668315
Name:FRIED AND POPPER INC
Entity Type:Organization
Organization Name:FRIED AND POPPER INC
Other - Org Name:ALPERIN AND FRIED INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-461-6390
Mailing Address - Street 1:5825 LANDERBROOK DR
Mailing Address - Street 2:STE 125
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-5633
Mailing Address - Country:US
Mailing Address - Phone:440-461-6390
Mailing Address - Fax:440-461-2990
Practice Address - Street 1:5825 LANDERBROOK DR
Practice Address - Street 2:STE 125
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-5633
Practice Address - Country:US
Practice Address - Phone:440-461-6390
Practice Address - Fax:440-461-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDR9278011Medicare PIN