Provider Demographics
NPI:1003986969
Name:CRAIN, FRANK R (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:R
Last Name:CRAIN
Suffix:
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:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:TAYLORS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:55084-0222
Mailing Address - Country:US
Mailing Address - Phone:651-465-5155
Mailing Address - Fax:651-465-5155
Practice Address - Street 1:386 BENCH STREET
Practice Address - Street 2:
Practice Address - City:TAYLORS FALLS
Practice Address - State:MN
Practice Address - Zip Code:55084
Practice Address - Country:US
Practice Address - Phone:651-465-5155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice