Provider Demographics
NPI:1437247921
Name:FRILINGOS, ANTHONY BASIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:BASIL
Last Name:FRILINGOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4755 S CONWAY RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-1245
Mailing Address - Country:US
Mailing Address - Phone:407-855-1128
Mailing Address - Fax:407-855-1130
Practice Address - Street 1:4755 S CONWAY RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-1245
Practice Address - Country:US
Practice Address - Phone:407-855-1128
Practice Address - Fax:407-855-1130
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN43001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAFRILINGOS@CFL.RR.COOtherE-MAIL ADDRESS
FLFL DN4300OtherPRACTICE LICENSE #