Doctor Name: | DR. BENNETT FRANK FRANKEL |
NPI Number: | 1114015088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | 6087 |
Business Practice Address: | 55 Stoakley Rd Prince Frederick, MD - 20678 |
Business Phone Number: | 4105352416 |
Business Fax Number: | 3018551287 |
Mailing Address: | 55 Stoakley Rd, PRINCE FREDERICK |
State: | MD |
Postal Code: | 20678 |
Phone Number: | 4105352416 |
Fax Number: | 3018551287 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | 6087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |