Provider Demographics
NPI:1780467837
Name:FRANK REDELIUS DMD PLLC
Entity type:Organization
Organization Name:FRANK REDELIUS DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:COSKUN
Authorized Official - Last Name:REDELIUS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-829-6591
Mailing Address - Street 1:7856 CALLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-5015
Mailing Address - Country:US
Mailing Address - Phone:954-829-6591
Mailing Address - Fax:
Practice Address - Street 1:11681 VOYAGER PKWY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3861
Practice Address - Country:US
Practice Address - Phone:719-574-1705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental