# KENNETH MICHAEL FRIED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** united dental centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922211614
- **Authorized official:** DR. KENNETH M FRIED D.D.S. (OWNER)
- **Authorized official phone:** (773) 646-6262

## Contact information

- **Practice address:** 1332 119TH ST, WHITING, IN 46394-1631
- **Practice address phone:** (219) 659-4900
- **Mailing address:** 1332 119TH ST., WHITING, IN 46394
- **Mailing address phone:** (219) 659-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019017190 | IL | — |
| 1223G0001X | General Practice Dentistry | 12009174 | IN | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 06/18/2008
