| Kenneth Michael Fried | |
|
1332 119th St Whiting IN 46394-1631 | |
| (219) 659-4900 | |
| Not Available |
| Full Name | Kenneth Michael Fried |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1332 119th St, Whiting, Indiana |
| Authorized Official Name and Position | Kenneth M Fried (OWNER) |
| Authorized Official Contact | 7736466262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Michael Fried 1332 119th St. Whiting IN 46394 Ph: (219) 659-4900 | Kenneth Michael Fried 1332 119th St Whiting IN 46394-1631 Ph: (219) 659-4900 |
| NPI Number | 1922211614 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922211614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019017190 (Illinois) | Secondary |
| 1223G0001X | Dentist - General Practice | 12009174 (Indiana) | Primary |
Chang W Rhim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Calumet Ave, Whiting, IN 46394 Phone: 219-659-2776 | |
United Dental Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 119th St, Whiting, IN 46394 Phone: 219-659-4900 | |
Anna Rivera Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 119th St Ste A, Whiting, IN 46394 Phone: 219-659-7060 | |
Sanjeet Raj Singh Parmar Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Indianapolis Blvd, Whiting, IN 46394 Phone: 219-655-5350 Fax: 219-655-5381 | |
Jeffrey A. Stolarz, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 119th St, Suite A, Whiting, IN 46394 Phone: 219-659-7060 Fax: 219-659-2118 |