Provider Demographics
NPI:1710003389
Name:INCRAPERA, FRANK LIBORIO (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LIBORIO
Last Name:INCRAPERA
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 1:624 CHADBOURNE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6428
Mailing Address - Country:US
Mailing Address - Phone:281-597-9938
Mailing Address - Fax:
Practice Address - Street 1:624 CHADBOURNE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-6428
Practice Address - Country:US
Practice Address - Phone:281-597-9938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2017-01-25
Deactivation Date:2016-03-07
Deactivation Code:
Reactivation Date:2017-01-19
Provider Licenses
StateLicense IDTaxonomies
TX97971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice