Provider Demographics
NPI:1629291075
Name:FRANK J CALVO DDS PS
Entity Type:Organization
Organization Name:FRANK J CALVO DDS PS
Other - Org Name:QUEEN ANNE DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:CALVO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-284-7812
Mailing Address - Street 1:400 BOSTON STREET
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2127
Mailing Address - Country:US
Mailing Address - Phone:206-284-7812
Mailing Address - Fax:206-284-1139
Practice Address - Street 1:400 BOSTON STREET
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2127
Practice Address - Country:US
Practice Address - Phone:206-284-7812
Practice Address - Fax:206-284-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA64561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty