Provider Demographics
NPI:1396838587
Name:ROBERTS, FRANK ALAN (DDS PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ALAN
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:DDS PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:HSB D580C, BOX 357444
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7444
Mailing Address - Country:US
Mailing Address - Phone:206-685-9046
Mailing Address - Fax:206-616-7478
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:HSB D580C, BOX 357444
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7444
Practice Address - Country:US
Practice Address - Phone:206-685-9046
Practice Address - Fax:206-616-7478
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000078431223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics