Provider Demographics
NPI:1396833570
Name:STUART J FROUM DDS PC
Entity Type:Organization
Organization Name:STUART J FROUM DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:J
Authorized Official - Last Name:FROUM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-586-4209
Mailing Address - Street 1:17 WEST 54TH STREET
Mailing Address - Street 2:SUITE I CD
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-586-4209
Mailing Address - Fax:212-246-7599
Practice Address - Street 1:17 WEST 54TH STREET
Practice Address - Street 2:SUITE I CD
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-586-4209
Practice Address - Fax:212-246-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0284541223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty