Provider Demographics
NPI:1528368685
Name:GREGORY A. FRAHM DDS, PLLC
Entity Type:Organization
Organization Name:GREGORY A. FRAHM DDS, PLLC
Other - Org Name:FRAHM FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTISTY
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRAHM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-328-9787
Mailing Address - Street 1:1520 W GARLAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-2613
Mailing Address - Country:US
Mailing Address - Phone:509-328-9787
Mailing Address - Fax:509-326-8095
Practice Address - Street 1:1520 W GARLAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2613
Practice Address - Country:US
Practice Address - Phone:509-328-9787
Practice Address - Fax:509-326-8095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-23
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9049261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental