Provider Demographics
NPI:1346876604
Name:FRAIM, ARLYN EUCARIS (DDS)
Entity Type:Individual
Prefix:
First Name:ARLYN
Middle Name:EUCARIS
Last Name:FRAIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 COMMONS PARK N APT 424
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-7174
Mailing Address - Country:US
Mailing Address - Phone:954-708-3156
Mailing Address - Fax:
Practice Address - Street 1:3377 LONG BEACH RD UNIT 1
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5063
Practice Address - Country:US
Practice Address - Phone:954-708-3156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT129521223G0001X
NY063044122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice