Provider Demographics
NPI:1194871566
Name:FREEDLANDER, HOWARD MARTIN (DMD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:MARTIN
Last Name:FREEDLANDER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-1368
Mailing Address - Country:US
Mailing Address - Phone:724-548-4758
Mailing Address - Fax:
Practice Address - Street 1:290 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-1368
Practice Address - Country:US
Practice Address - Phone:724-548-4758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018776L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice