Provider Demographics
NPI:1821093600
Name:FROME, DAVID H (DDS,MPH)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:FROME
Suffix:
Gender:M
Credentials:DDS,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 RUSSELL AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2962
Mailing Address - Country:US
Mailing Address - Phone:301-869-2500
Mailing Address - Fax:301-926-7655
Practice Address - Street 1:8 RUSSELL AVE
Practice Address - Street 2:STE 104
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2962
Practice Address - Country:US
Practice Address - Phone:301-869-2500
Practice Address - Fax:301-926-7655
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD44621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice