Provider Demographics
NPI:1013975754
Name:LAFRENZ, JUERGEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUERGEN
Middle Name:
Last Name:LAFRENZ
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 1:7207 OAK MOSS DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-6215
Mailing Address - Country:US
Mailing Address - Phone:586-747-9962
Mailing Address - Fax:
Practice Address - Street 1:6320 VENTURE DR STE 102
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5131
Practice Address - Country:US
Practice Address - Phone:941-907-1199
Practice Address - Fax:941-907-6611
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI119121223G0001X
FLDN 80581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice