Provider Demographics
NPI:1043856255
Name:FRANK J VASCIMINI DDS PA
Entity Type:Organization
Organization Name:FRANK J VASCIMINI DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:VASCIMINI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:352-628-0012
Mailing Address - Street 1:4805 S SUNCOAST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-1703
Mailing Address - Country:US
Mailing Address - Phone:352-628-0012
Mailing Address - Fax:
Practice Address - Street 1:4805 S SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-1703
Practice Address - Country:US
Practice Address - Phone:352-628-0012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty