Doctor Name: | FRANK JAMES FOREMAN |
NPI Number: | 1013015452 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | DE00007037 |
Business Practice Address: | 387 Ne 223rd Ave Gresham, OR - 970308554 |
Business Phone Number: | 5036252538 |
Business Fax Number: | |
Mailing Address: | 387 Ne 223rd Ave, GRESHAM |
State: | OR |
Postal Code: | 970308554 |
Phone Number: | 5036252538 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DE00007037 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |