Provider Demographics
NPI:1356556252
Name:FRANKEL, MANUEL (DDS)
Entity type:Individual
Prefix:
First Name:MANUEL
Middle Name:
Last Name:FRANKEL
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 1:801 W GRANADA BLVD
Mailing Address - Street 2:304
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174
Mailing Address - Country:US
Mailing Address - Phone:386-673-5003
Mailing Address - Fax:386-676-1161
Practice Address - Street 1:801 W GRANADA BLVD
Practice Address - Street 2:304
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174
Practice Address - Country:US
Practice Address - Phone:386-673-5003
Practice Address - Fax:386-676-1161
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL39301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice