Individual provider · Type 1 NPI
Jake Fried, DDS
Pediatric Dentistry · Ballston Lake, NY
NPI number
1063834299
Active
Practice location
92 Sweet Rd
Ballston Lake, NY 12019-1804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 057555 (NY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1063834299
Jake Fried, DDS's National Provider Identifier is 1063834299, issued on Jan 7, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ballston Lake, NY. The record was last updated on May 7, 2020.