Provider Demographics
NPI:1487105094
Name:H ANDREW FRATKIN, DDS, PC
Entity type:Organization
Organization Name:H ANDREW FRATKIN, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:FRATKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-346-4066
Mailing Address - Street 1:2301 N PARHAM RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-3171
Mailing Address - Country:US
Mailing Address - Phone:804-346-4066
Mailing Address - Fax:804-346-5100
Practice Address - Street 1:2301 N PARHAM RD
Practice Address - Street 2:SUITE 2
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-3171
Practice Address - Country:US
Practice Address - Phone:804-346-4066
Practice Address - Fax:804-346-5100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty