Provider Demographics
NPI:1750680096
Name:FRANGELLA DENTAL PLLC
Entity Type:Organization
Organization Name:FRANGELLA DENTAL PLLC
Other - Org Name:FRANGELLA COSMETIC DENTISTRY AND FACIAL AESTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:DOMINIC
Authorized Official - Last Name:FRANGELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-245-2888
Mailing Address - Street 1:200 WEST 57TH ST
Mailing Address - Street 2:SUITE 1405
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-4702
Mailing Address - Country:US
Mailing Address - Phone:212-245-2888
Mailing Address - Fax:212-245-2488
Practice Address - Street 1:200 W 57TH ST
Practice Address - Street 2:SUITE 1405
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3211
Practice Address - Country:US
Practice Address - Phone:212-245-2888
Practice Address - Fax:212-245-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05210811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty