Provider Demographics
NPI:1134205438
Name:EUTSEY, FRANK REED (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:REED
Last Name:EUTSEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13431 STATE ROUTE 422
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-3613
Mailing Address - Country:US
Mailing Address - Phone:724-548-5636
Mailing Address - Fax:724-543-3005
Practice Address - Street 1:13431 STATE ROUTE 422
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-3613
Practice Address - Country:US
Practice Address - Phone:724-548-5636
Practice Address - Fax:724-543-3005
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029813-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice