# JFRIEDMAN - ALEXANDRIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alexandria Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528540218
- **Authorized official:** JEREMY FRIEDMAN DDS (OWNER)
- **Authorized official phone:** (317) 414-1616

## Contact information

- **Practice address:** 113 S HARRISON ST, ALEXANDRIA, IN 46001-2021
- **Practice address phone:** (765) 724-7777
- **Mailing address:** 14331 E JACKSON ST, 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:** 08/30/2018
- **Last updated:** 08/30/2018