Provider Demographics
NPI:1598882417
Name:FRANTZ, BRYAN J (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:J
Last Name:FRANTZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 ONEILL HWY
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-1719
Mailing Address - Country:US
Mailing Address - Phone:570-344-3344
Mailing Address - Fax:570-344-3359
Practice Address - Street 1:1039 ONEILL HWY
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-1719
Practice Address - Country:US
Practice Address - Phone:570-344-3344
Practice Address - Fax:570-344-3359
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-024759-L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics