Fried, Kenneth

Fried, Kenneth is an sole proprietor health care provider with primary practice located at 3540 E 118Th St , Chicago IL 60617-7314. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fried, Kenneth can be contacted via phone (773) 646-6262.

Contact Information

Primary practice address
3540 E 118Th St Chicago IL 60617-7314
Phone: (773) 646-6262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019017190 Illinois
Dental Providers / General Practice 1223G0001X 12009174 Indiana

Profile Details

NPI number 1457354441
LBN Legal business name Fried, Kenneth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Nov 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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