Provider Demographics
NPI:1588853659
Name:BELLIZZI, FRANK J (DDS)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:BELLIZZI
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 1:588 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3620
Mailing Address - Country:US
Mailing Address - Phone:973-731-5966
Mailing Address - Fax:973-742-9249
Practice Address - Street 1:588 EAGLE ROCK AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-3620
Practice Address - Country:US
Practice Address - Phone:973-731-5966
Practice Address - Fax:973-742-9249
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ72591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice