Provider Demographics
NPI:1194841270
Name:DAVIES, FRANK R (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:R
Last Name:DAVIES
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 1:6221 STATE ROUTE 31
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-8715
Mailing Address - Country:US
Mailing Address - Phone:315-699-1919
Mailing Address - Fax:315-698-9608
Practice Address - Street 1:6221 STATE ROUTE 31
Practice Address - Street 2:SUITE 102
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-8715
Practice Address - Country:US
Practice Address - Phone:315-699-1919
Practice Address - Fax:315-698-9608
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0419381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice