Provider Demographics
NPI:1891917738
Name:DRISCOLL, FRANK ARTHUR (DDS,MSD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ARTHUR
Last Name:DRISCOLL
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Gender:M
Credentials:DDS,MSD
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Mailing Address - Street 1:2514 S. 119TH STREET
Mailing Address - Street 2:204
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2869
Mailing Address - Country:US
Mailing Address - Phone:402-330-5913
Mailing Address - Fax:402-333-3190
Practice Address - Street 1:2514 S. 119TH STREET
Practice Address - Street 2:204
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2869
Practice Address - Country:US
Practice Address - Phone:402-330-5913
Practice Address - Fax:402-333-3190
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE34411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry