Provider Demographics
NPI:1871512442
Name:COURTS, FRANK J (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:COURTS
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 SUCCESS COURT
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2232
Mailing Address - Country:US
Mailing Address - Phone:252-443-7136
Mailing Address - Fax:252-451-1386
Practice Address - Street 1:73 SUCCESS COURT
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2232
Practice Address - Country:US
Practice Address - Phone:252-443-7136
Practice Address - Fax:252-451-1386
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89902-APMedicare UPIN