Provider Demographics
NPI:1285796607
Name:FRIEDLANDER, JOAN ROBERTS (DMD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:ROBERTS
Last Name:FRIEDLANDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 AIRPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3163
Mailing Address - Country:US
Mailing Address - Phone:251-344-0230
Mailing Address - Fax:251-341-1787
Practice Address - Street 1:6350 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3163
Practice Address - Country:US
Practice Address - Phone:251-344-0230
Practice Address - Fax:251-344-4062
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL39151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice