Provider Demographics
NPI:1932626439
Name:ENDODONTICS, PLLC
Entity Type:Organization
Organization Name:ENDODONTICS, PLLC
Other - Org Name:ENDODONTICS OF THE ROCKIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-330-6288
Mailing Address - Street 1:2996 GINNALA DR STE 101
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2832
Mailing Address - Country:US
Mailing Address - Phone:970-292-6703
Mailing Address - Fax:
Practice Address - Street 1:2996 GINNALA DR STE 101
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2832
Practice Address - Country:US
Practice Address - Phone:970-292-6703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty