Provider Demographics
NPI:1740419043
Name:FRANKEL, SHLOMO STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:SHLOMO
Middle Name:STEVEN
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 1:368 N KANAN ROAD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377
Mailing Address - Country:US
Mailing Address - Phone:818-233-8400
Mailing Address - Fax:747-299-3004
Practice Address - Street 1:368 N KANAN ROAD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:CA
Practice Address - Zip Code:91377
Practice Address - Country:US
Practice Address - Phone:818-233-8400
Practice Address - Fax:747-299-3004
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X1223G0001X
CA596491223X0400X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral Practice
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty