Provider Demographics
NPI:1215040373
Name:SIERRA, FRANK J (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:SIERRA
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:5420 WEBB RD
Mailing Address - Street 2:C2
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3250
Mailing Address - Country:US
Mailing Address - Phone:813-889-0780
Mailing Address - Fax:813-885-2642
Practice Address - Street 1:5420 WEBB RD
Practice Address - Street 2:C2
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3250
Practice Address - Country:US
Practice Address - Phone:813-889-0780
Practice Address - Fax:813-885-2642
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN132851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL075109000Medicaid