Provider Demographics
NPI:1912044777
Name:INCARDONA, FRANK J (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:INCARDONA
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 1:3325 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 600-B
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1582
Mailing Address - Country:US
Mailing Address - Phone:847-392-7947
Mailing Address - Fax:847-392-5275
Practice Address - Street 1:3325 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 600-B
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1582
Practice Address - Country:US
Practice Address - Phone:847-392-7947
Practice Address - Fax:847-392-5275
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL319-0095921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice