Provider Demographics
NPI:1205869294
Name:HOLCZMAN, FRANK J (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:HOLCZMAN
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 1:2405 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9429
Mailing Address - Country:US
Mailing Address - Phone:717-652-5094
Mailing Address - Fax:717-657-5397
Practice Address - Street 1:2405 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9429
Practice Address - Country:US
Practice Address - Phone:717-652-5094
Practice Address - Fax:717-657-5397
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021288L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice