Provider Demographics
NPI:1003974965
Name:PACE, FRANK LOUIS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LOUIS
Last Name:PACE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 RIDGEWOOD DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2667
Mailing Address - Country:US
Mailing Address - Phone:419-352-2593
Mailing Address - Fax:419-354-4717
Practice Address - Street 1:1221 RIDGEWOOD DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2667
Practice Address - Country:US
Practice Address - Phone:419-352-2593
Practice Address - Fax:419-354-4717
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300143161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0270997Medicaid