Provider Demographics
NPI:1376656579
Name:SCIABICA, FRANK S (DDS PS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:S
Last Name:SCIABICA
Suffix:
Gender:M
Credentials:DDS PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 112TH AVE NE STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3718
Mailing Address - Country:US
Mailing Address - Phone:425-453-4353
Mailing Address - Fax:425-453-4355
Practice Address - Street 1:1418 112TH AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3718
Practice Address - Country:US
Practice Address - Phone:425-453-4353
Practice Address - Fax:425-453-4355
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA7219122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist