Provider Demographics
NPI:1750409595
Name:HUTTON, FRANK G III (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:G
Last Name:HUTTON
Suffix:III
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 1:1240 N CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-1257
Mailing Address - Country:US
Mailing Address - Phone:815-485-8850
Mailing Address - Fax:815-485-8851
Practice Address - Street 1:1240 N CEDAR RD
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1257
Practice Address - Country:US
Practice Address - Phone:815-485-8850
Practice Address - Fax:815-485-8851
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice