Provider Demographics
NPI:1902816432
Name:FRIEDRICHS, RICK G (DDS)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:G
Last Name:FRIEDRICHS
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 1:1113 ALMA STREET
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375
Mailing Address - Country:US
Mailing Address - Phone:281-351-0005
Mailing Address - Fax:281-516-9250
Practice Address - Street 1:1113 ALMA STREET
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-351-0005
Practice Address - Fax:281-516-9250
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice