Provider Demographics
NPI:1114234598
Name:GRAZIANO, FRANK LEO JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LEO
Last Name:GRAZIANO
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 1:8201 MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6046
Mailing Address - Country:US
Mailing Address - Phone:716-630-9999
Mailing Address - Fax:716-630-6677
Practice Address - Street 1:8201 MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6046
Practice Address - Country:US
Practice Address - Phone:716-630-9999
Practice Address - Fax:716-630-6677
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0350581223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics