Friend, Gerald William
Friend, Gerald William is an individual health care provider with primary practice located at 2700 Allyson Lane , Conway AR 72034. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Friend, Gerald William can be contacted via phone (501) 730-0375.Contact Information
Primary practice address
2700 Allyson Lane
Conway AR 72034
Phone: (501) 730-0375
Fax: (501) 730-0335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 2793 | Arkansas |
Profile Details
| NPI number | 1811913999 |
|---|---|
| LBN Legal business name | Friend, Gerald William |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811913999 | NPPES |
| Arkansas | Other | 58600 | BLUE CROSS BLUE SHIELD |
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