Provider Demographics
NPI:1295734440
Name:SUNSERI, FRANCES ANN (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:ANN
Last Name:SUNSERI
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 1:9201 SE 91ST AVE
Mailing Address - Street 2:STE 140
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-3760
Mailing Address - Country:US
Mailing Address - Phone:503-253-1344
Mailing Address - Fax:503-253-1344
Practice Address - Street 1:9201 SE 91ST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-6760
Practice Address - Country:US
Practice Address - Phone:503-253-1344
Practice Address - Fax:503-253-5652
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD6551122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist