Provider Demographics
NPI:1639212244
Name:RASCHILLA, FRANK L (DDS)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:RASCHILLA
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 1:1064 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89460-8903
Mailing Address - Country:US
Mailing Address - Phone:775-782-3638
Mailing Address - Fax:775-782-6573
Practice Address - Street 1:1064 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89460-8903
Practice Address - Country:US
Practice Address - Phone:775-782-3638
Practice Address - Fax:775-782-6573
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV37411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice