# JEREMY FRIEDMAN DDS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEREEMY FRIEDDMAN DDS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376975615
- **Legal business name:** JEREEMY FRIEDDMAN DDS, LLC
- **Authorized official:** DR. JEREMY A FRIEDMAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (317) 414-1616

## Contact information

- **Practice address:** 14331 E JACKSON STREET, PARKER CITY, IN 47368
- **Practice address phone:** (765) 468-6814
- **Practice address fax:** (765) 433-2333
- **Mailing address:** 14331 E JACKSON STREET, PARKER CITY, IN 47368-9401
- **Mailing address phone:** (765) 468-6814
- **Mailing address fax:** (765) 433-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010743 | IN | Yes |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 03/03/2023