Provider Demographics
NPI:1245394287
Name:JONATHAN R. FRANK DDS PC
Entity Type:Organization
Organization Name:JONATHAN R. FRANK DDS PC
Other - Org Name:JORDAN VIEW DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-253-4415
Mailing Address - Street 1:4217 W 11430 S
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-8051
Mailing Address - Country:US
Mailing Address - Phone:801-253-4415
Mailing Address - Fax:
Practice Address - Street 1:9103 S 1300 W
Practice Address - Street 2:SUITE #104
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-6706
Practice Address - Country:US
Practice Address - Phone:801-255-8030
Practice Address - Fax:801-255-8060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4930372-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty