Provider Demographics
NPI:1780801027
Name:BRIGNOL, FRANTZ
Entity type:Individual
Prefix:DR
First Name:FRANTZ
Middle Name:
Last Name:BRIGNOL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11962 COUNTY ROAD 101
Mailing Address - Street 2:STE 304
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-9337
Mailing Address - Country:US
Mailing Address - Phone:352-365-0300
Mailing Address - Fax:352-750-9641
Practice Address - Street 1:8136 CENTRALIA CT
Practice Address - Street 2:SUITE 103
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-8136
Practice Address - Country:US
Practice Address - Phone:352-365-0300
Practice Address - Fax:352-365-0309
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN166701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice