Provider Demographics
NPI:1477655843
Name:FRANK, SAMUEL A (DMD MS)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:A
Last Name:FRANK
Suffix:
Gender:M
Credentials:DMD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 COCHRAN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1541
Mailing Address - Country:US
Mailing Address - Phone:412-561-4561
Mailing Address - Fax:412-561-4570
Practice Address - Street 1:455 COCHRAN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1541
Practice Address - Country:US
Practice Address - Phone:412-561-4561
Practice Address - Fax:412-561-4570
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO23806L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics