Provider Demographics
NPI:1942616206
Name:FRATANTONIO, BRIANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNE
Middle Name:
Last Name:FRATANTONIO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8276 MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2518
Mailing Address - Country:US
Mailing Address - Phone:440-491-4001
Mailing Address - Fax:
Practice Address - Street 1:8276 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2518
Practice Address - Country:US
Practice Address - Phone:440-729-1911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30024272122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist