Provider Demographics
NPI:1689439895
Name:FRANKEL & PUHL DENTISTRY OREGON, LLC
Entity Type:Organization
Organization Name:FRANKEL & PUHL DENTISTRY OREGON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-474-9611
Mailing Address - Street 1:3150 DUSTIN RD STE 1
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-4363
Mailing Address - Country:US
Mailing Address - Phone:419-693-0781
Mailing Address - Fax:
Practice Address - Street 1:3150 DUSTIN RD STE 1
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-4363
Practice Address - Country:US
Practice Address - Phone:419-693-0781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty