Provider Demographics
NPI:1801567854
Name:FRIENDLY COMFORT DENTISTRY LLC
Entity type:Organization
Organization Name:FRIENDLY COMFORT DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:FRIEND
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHTEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-715-1322
Mailing Address - Street 1:300 ARBOR DRIVE
Mailing Address - Street 2:SUITE #5
Mailing Address - City:DRY RIDGE
Mailing Address - State:KY
Mailing Address - Zip Code:41035
Mailing Address - Country:US
Mailing Address - Phone:859-823-0111
Mailing Address - Fax:859-823-9111
Practice Address - Street 1:300 ARBOR DRIVE
Practice Address - Street 2:SUITE #5
Practice Address - City:DRY RIDGE
Practice Address - State:KY
Practice Address - Zip Code:41035
Practice Address - Country:US
Practice Address - Phone:859-823-0111
Practice Address - Fax:859-823-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty