Provider Demographics
NPI:1649493669
Name:FRAIMAN, PERRY H (DDS)
Entity type:Individual
Prefix:
First Name:PERRY
Middle Name:H
Last Name:FRAIMAN
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 1:18715 N REEMS RD
Mailing Address - Street 2:#100
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-8643
Mailing Address - Country:US
Mailing Address - Phone:623-975-3115
Mailing Address - Fax:623-975-3699
Practice Address - Street 1:18715 N REEMS RD
Practice Address - Street 2:#100
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-8643
Practice Address - Country:US
Practice Address - Phone:623-975-3115
Practice Address - Fax:623-975-3699
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ67441223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics