Provider Demographics
NPI:1922198266
Name:GIOVANNONE, FRANK ANTHONY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ANTHONY
Last Name:GIOVANNONE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:286 GENESEE ST
Mailing Address - Street 2:THE DENTAL ARTS OFFICE
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-4639
Mailing Address - Country:US
Mailing Address - Phone:315-797-2555
Mailing Address - Fax:315-797-9345
Practice Address - Street 1:286 GENESEE ST
Practice Address - Street 2:THE DENTAL ARTS OFFICE
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4639
Practice Address - Country:US
Practice Address - Phone:315-797-2555
Practice Address - Fax:315-797-9345
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0385601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00845872Medicaid