Provider Demographics
NPI:1629102512
Name:G. JOHN FRAONE,D.M.D.,M.S., PC
Entity Type:Organization
Organization Name:G. JOHN FRAONE,D.M.D.,M.S., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GIANFRANCO
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAONE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-997-2400
Mailing Address - Street 1:92 FAUNCE CORNER RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-1262
Mailing Address - Country:US
Mailing Address - Phone:508-997-2400
Mailing Address - Fax:
Practice Address - Street 1:92 FAUNCE CORNER RD
Practice Address - Street 2:SUITE 150
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1262
Practice Address - Country:US
Practice Address - Phone:508-997-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty