Fridrich, Kirk L

Fridrich, Kirk L is an individual health care provider with primary practice located at 51300 Pomerantz Family Pavilion , Iowa City IA 52242. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Fridrich, Kirk L can be contacted via phone (319) 356-1981.

Contact Information

Primary practice address
51300 Pomerantz Family Pavilion Iowa City IA 52242
Phone: (319) 356-1981
Fax: (319) 353-6923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 07355 Iowa

Profile Details

NPI number 1174508022
LBN Legal business name Fridrich, Kirk L
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Mar 27th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174508022 NPPES
Iowa Other 26233 WELLMARK
Iowa MEDICAID 0262337 WELLMARK

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