Provider Demographics
NPI:1922338193
Name:FRIEDMANN, JOHN HENRY JR (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HENRY
Last Name:FRIEDMANN
Suffix:JR
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 1:1212 LAUREL ST #2012
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:901-652-1180
Mailing Address - Fax:
Practice Address - Street 1:3515 CENTRAL PIKE
Practice Address - Street 2:STE 202
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076
Practice Address - Country:US
Practice Address - Phone:615-889-4658
Practice Address - Fax:615-889-2989
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000008284122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist